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依兰县医院自1978年以来,应用口服去甲肾上腺素加冷生理盐水,并配合口服制酸剂治疗上消化道出血18例,除1例胃癌出血治疗后又反复出血而行手术外,余17例均获成功。止血时间最长72小时,最短24小时。18例中以胃、十二指肠出血居多,12例。用药方法:大量呕血、便血病人,首次在呕吐后立即口服去甲肾上腺素8毫克加生理盐水100毫升,隔4～6小时后再连用去甲肾上腺素4毫克加生理盐水100毫升,空腹口服,血止后再口服去甲肾上腺1～2毫克加生理盐水,维持2～3日,同时口服制酸剂;少量出血病人,口服去甲肾上腺素2毫克加生理盐水100毫升,日服三次,一般三天内多能止血,制酸剂需长期配合应用。
Yilan County Hospital since 1978, the application of oral norepinephrine plus cold saline, combined with oral antacid in the treatment of upper gastrointestinal bleeding in 18 cases, with the exception of a case of gastric bleeding after bleeding and repeated surgery, the rest 17 cases were successful. Hemostatic time up to 72 hours, the shortest 24 hours. Of the 18 cases, the majority of gastric and duodenal hemorrhage occurred in 12 cases. Dosage: a large number of hematemesis, blood in patients with stool, the first oral immediately after vomiting norepinephrine 8 mg plus saline 100 ml, every 4 to 6 hours and then use norepinephrine 4 mg plus normal saline 100 ml, fasting oral, Blood only after oral administration of norepinephrine 1 to 2 mg plus saline, maintained 2 to 3 days, while oral antacid; a small amount of bleeding patients, oral norepinephrine 2 mg plus saline 100 ml, served three times a day, usually Within three days to stop bleeding, antacids need long-term cooperation.