How should gastric bleeding be treated?

The stomach is a particularly important organ for everyone, and it is also an important organ that ensures we enjoy delicious food every day. However, in life, many people always cause harm to their stomachs due to some bad behavioral habits. Among all stomach diseases, gastric bleeding is considered a relatively serious disease. Therefore, we must do a good job of prevention in normal times. So, what are the treatments for gastric bleeding?

1. Routine treatment: ① The patient should lie in a supine position. If the patient is restless, 10 mg of diazepam can be injected intramuscularly; ② Patients with vomiting blood should fast, while patients with simple black stools can eat liquid food; ③ Patients with severe conditions should receive oxygen; ④ Place a gastric tube to suck out the blood in the stomach, understand the bleeding situation, and infuse drugs; ⑤ Strengthen care to prevent vomitus from being inhaled into the respiratory tract, causing pneumonia or suffocation.

2. Rescue shock: ① Estimation of blood transfusion volume. Mild bleeding is mainly treated with infusion, and blood transfusion may not be required temporarily. Moderate bleeding requires 400-600ml of blood supplementation. Severe bleeding requires 900-1200ml of blood transfusion, or even more. ② Estimation of infusion volume. In principle, the amount of fluid out should be equal to the amount of in. The infusion volume and speed can be adjusted according to the central venous pressure measurement. The fluids used are crystalloid and dextran; ③ Correct acid-base and electrolyte balance.

3. Application of hemostatic agents: ① Use Anluoxue/Hemostatic Min or Hemostatic Acid as appropriate and add it to the rehydration solution for dripping; ② Infuse norepinephrine or thrombin at a concentration of 80 mg/L through the gastric tube; ③ For local hemostasis under gastroscopy, spray hemostatic agents, such as 80 mg/L norepinephrine or thrombin; or inject hemostatic agents, such as 1-2 mg of epinephrine added to 10 ml of 10% saline, for point injection; or high-frequency electrocoagulation hemostasis; or microwave hemostasis; or laser hemostasis.

4. Etiological treatment: ① Bleeding caused by stress lesions or ulcers, or, H2-receptor blockers cimetidine or ranitidine can be used intravenously; or Losec 20 mg can be taken orally, twice a day; ② For esophageal and gastric fundus varicose vein bleeding, a three-lumen tube should be inserted for compression and hemostasis. Generally, 200 ml of gastric bag is injected with air or water, and the pressure is 5.3-6.6 kPa. It is pulled with a 1-2 kg pulley. The bleeding stops after 24 hours, and the air can be deflated and observed for another 24 hours. At the same time, 20 U of posterior pituitary hormone is added to 100 ml of glucose solution and intravenously dripped. It is repeated every 3-4 hours. The sclerosant is injected under direct vision of the gastroscope. Generally, 1% ethoxysclerosing alcohol or 5% sodium morrhuate is used and injected into and beside the varicose veins to cause embolism and hemostasis.

Of course, another way to treat gastric bleeding is surgical treatment. However, for ordinary patients with gastric bleeding, as long as the gastric bleeding is not caused by gastric perforation or liver cirrhosis, surgical treatment is not required. You only need to regulate your body and diet in daily life. In terms of diet, you should eat more stomach-nourishing foods, and it is best to drink more porridge every day.