Thursday, February 28, 2008

Upper gastrointestinal bleeding early signs

Upper gastrointestinal bleeding duodenal means suspensory ligament above digestive tract, Including the esophagus, stomach, duodenum or pancreas, and other diseases caused by bleeding, but the gastrojejunostomy postoperative bleeding lesions jejunum it is this context. A large number of upper gastrointestinal bleeding in a matter of hours, generally refers to blood loss in excess of 1,000 ml or circulating blood volume of 20 percent, a precarious condition, died string of about 10%. If massive bleeding can cause acute peripheral circulatory failure, if not promptly rescue, often endangering the patient's life. Therefore, if found any of the following signs of early response, absolutely must not be neglected. ● black soiled with hematemesis This is the upper gastrointestinal bleeding characteristic of the performance generally see a black soiled, not necessarily hematemesis. Fecal samples were black asphalt, viscosity and shiny, hemoglobin of the iron sulfide, as enteral role by the formation of iron sulfide. Hematemesis mostly SEPIA, a Java-like coffee, which is due to the role of blood by gastric acid is formed by the heme iron. ● bleeding, circulatory failure around Mu This is the upper gastrointestinal bleeding, caused substantial reduction circulating blood volume, blood volume corresponding foot vein Rhodobryum roseum, decreased cardiac output, the clinical manifestations of dizziness, lightheadedness, heart palpitations, sweating, nausea, thirst, black, and so deceive or syncope . Often patients with defecation due to the toilet after syncope fell on the ground, special attention should be. ● fever Generally not more than 38.5 ° C, sustainable 3-5 days. Fever reason is not clear, may be the central body temperature regulation dysfunction related. Upper gastrointestinal bleeding, especially the massive bleeding is a common clinical emergency. The majority of patients are black or hematemesis feces as information, but a small number of patients with acute peripheral circulatory failure or syncope onset, did not reveal flesh, it must be early detection, clear etiology, close observation, active treatment; delay illness.

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