Hemorrhage of the liver cancer how to do

Cirrhosis with esophageal and gastric bleeding occurred in the middle-aged men, the majority of patients with chronic liver disease, jaundice, or schistosomiasis history of chronic alcoholism. Prior to the onset of the vast majority of patients with no obvious sign of discomfort or, in some patients with abdominal Baozhang hematemesis before the flu. Hematemesis of the disease to more Duocheng bright red, Chung spit out, some cases were spray of hematemesis. The event of hematemesis, family members should immediately be taken to the hospital with first-aid measures, and Zhu patients to pillow sits flat ban hot dishes and other protein food. Upper gastrointestinal bleeding in the rescue principle is: to support therapy, infusion, blood transfusion to prevent and correct shock, the use of appropriate drugs to stop bleeding. Blood transfusion process to rescue the most important and extensive use of the new blood coagulation factor. Another rescue is an important measure to stop bleeding. Methods include drugs to stop bleeding, mechanical oppression (c cavity oppression of the capsule) to stop bleeding, blood clots endoscopic surgery to stop bleeding and bleeding. ① drug to stop bleeding: portal hypertension lead to cirrhosis of esophageal and gastric bleeding vein, should seek to reduce the pressure on the portal can be oral or intravenous drip propranolol Pituitrin, 8 peptide vasopressin and somatostatin. At the same time the use of hemostatic agents such as vitamin K, the blood Tongxinluo, 6 - amino acid, anti-acid and blood fibrinolytic Bletilla striata Chinese medicine powder, Zizhu grass, and so on. ② machinery to stop bleeding: for the three main cavity of the capsule pressure to stop bleeding. Such as the use of the drugs still bleeding effect, and who can not immediately carry out surgical treatment should immediately adopt this method. Such as air bags placed in appropriate, to stop bleeding effect can be achieved. Application, Weinang inflatable more generally charge 200 to 400 ml; esophageal capsule filling relatively small (80 ml), because many of esophageal varices from gastric vein, as long as the oppressed living gastric vein, Bleeding can be ended. If still unable to effectively stop bleeding, should continue to intensify the filling of esophageal capsule. It was also advocated in the stomach and injected saline norepinephrine 8 mg, gastric blood vessels to contract, after the oppression of the balloon to have a role to hemorrhage. To avoid pressure on mucosal injury, should be oppressed every 12 hours that is not gas 1-2 hours. Oppressive measures to stop bleeding is generally not more than three days, three days later there is still bleeding should consider taking other measures. ③ endoscopic hemostasis: the conservative medical treatment of patients may be invalid under the hardening of the use of endoscopic hemostasis. The acute hemorrhagic bleeding rate of 95 percent, to the site to stop bleeding blood vessels to stop bleeding embolization, such as bleeding difficult to determine the location, in endoscopic spray thrombin to stop bleeding. ④ surgical treatment: the treatment is repeated massive bleeding or bleeding, surgical treatment should be considered, the methods are: ligation gastric and esophageal varices; Die stomach at the bottom, further stomach - stomach anastomosis; patients if the situation is systemic Stability, could be considered for the portal vein anastomosis splenorenal or bypass surgery.