lin06900
ORANGE EKSTRAKLASA
Dołączył: 22 Lip 2010
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Wysłany: Pią 11:35, 25 Mar 2011 |
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After severe burn comprehensive prevention of stress ulcer
Early application of cimetidine as a prophylactic treatment of patients with severe burns . Cimetidine can inhibit the cell membrane on the wall of H: receptors ,[link widoczny dla zalogowanych], not only on the basis of inhibition of gastric acid secretion , and by histamine , insulin, pentagastrin , caffeine , food,[link widoczny dla zalogowanych], etc. to stimulate the generation of gastric acid secretion is also Considerable inhibition. At the same time protect the wound early , active and effective infection control , clear foci . We observed an early application of these measures can significantly reduce the incidence of stress bleeding . For stress ulcer bleeding has occurred in patients ,[link widoczny dla zalogowanych], immediately accelerate the infusion , if necessary, enter the new blood expansion, to maintain effective circulating blood volume , and systemic hemostatic agents , strengthen acid , the greater the amount of bleeding of gastric tube should be set Lavage ,[link widoczny dla zalogowanych], and then use high concentrations of injected norepinephrine effective treatment for gastric and other measures to stop bleeding is entirely possible. Studies have shown that somatostatin ( SS ) can decrease portal vein pressure and lower gastrointestinal tract, visceral blood flow , inhibit gastric acid ,[link widoczny dla zalogowanych], pepsin secretion, reduce gastric aggressive factors such as the role of gastric mucosal damage . Gastrointestinal bleeding and therefore a more significant effect . In addition to these conservative treatment measures, the condition of patients when necessary, may also consider surgery. Recommended to do a gastroscopy before surgery , the best part of a clear bleeding after surgery, in order to correctly judge the bleeding site , extent , shorten the operation time and reduce postoperative complications.
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