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上消化道出血病因多,涉及脏器面广,治疗方法繁多,因此临床及时正确选择治疗方法及途径至关重要。 一、消化性溃疡出血的治疗 1.药物治疗:①输液和输血:一般主张血色素<8g/L给予输血,以恢复血容量。②H_2受体拮抗剂:提高胃内PH,促进溃汤愈合,抑制胃蛋白酶原转化为胃蛋白酶,使胃内蛋白溶解活性减弱,稳定已形成的血痂,防止再出血。常用甲氰咪呱0.2～0.4g,每6小时1次静注。③奥米拉唑:为质子泵抑制剂,较H_2受体拮抗剂有更强的胃分泌抑制作用。首次80mg静注,而后每12小时给予40mg静
The cause of upper gastrointestinal bleeding, involving a wide range of organs, a wide range of treatment methods, clinical timely and correct choice of treatment methods and ways is essential. First, the treatment of peptic ulcer bleeding 1. Drug treatment: ① infusion and blood transfusion: the general idea of hemoglobin <8g / L given blood transfusion in order to restore blood volume. ② H2 receptor antagonist: increase gastric pH, promote the ulcer healing, inhibition of pepsinogen into pepsin, the stomach weakening of proteolytic activity, stability has been formed blood scab, to prevent rebleeding. Common cimetidine 0.2 ~ 0.4g, intravenous injection every 6 hours. ③ omeprazole: a proton pump inhibitor, H 2 receptor antagonist has a stronger gastric secretion inhibitory effect. The first 80mg intravenous injection, and then given every 12 hours 40mg static