Hospice rescue esophageal and gastric variceal bleeding observation of 48 cases


Indicators for the bleeding to stop more than 6h. Medication to stop bleeding within 24h ,24-72h for the markedly effective to stop bleeding, more than 72h still vomiting,burberry paris, blood in the stool to be valid. 1.4 Results The bleeding rate of 58.3% within 6h and 6h bleeding control rate 28.6% (P 0.05), treatment group 1 week rebleeding rate was 12.5% ​​compared with the control group 42.9% (P 0.05) (see table). Schedule patients with esophageal and gastric varices 9o treatment of bleeding treatment group 1.5 adverse events: three patients with mild nausea, can tolerate, disappeared after stopping; the control group: 10 cases of abdominal pain, chest tightness, 2 cases of symptomatic improvement after treatment , not withdrawal. 2 Discussion of vasopressin (vasopressin) is currently used vasopressin, continuous infusion can be directly contracted visceral vascular bed of the small arteries and precapillary sphincter, reducing blood flow to internal organs, thereby reducing portal pressure and variceal pressure. First stop the bleeding rate of 50 - 65%, bleeding stopped within 24 ~ 48h after the rebleeding rate of approximately 40%. Significant side effects: abdominal pain, increased stool frequency, myocardial ischemia,moncler sale, myocardial infarction, arrhythmia. Octreotide is a synthetic amino acid peptide ring 8 a is a somatostatin analogue, biological half-life of 90 to 120 minutes. It retains the high-affinity somatostatin receptors, and resistance to degradation ..., with strong somatostatin activity. Pharmacological studies have shown that octreotide to promote platelet aggregation, the role will help to promote blood clotting and bleeding termination; home and abroad are all believed to be primarily the role of inhibition with vasoactive gastrointestinal peptides such as glucagon, vasoactive intestinal peptide, calcitonin gene-related peptide, P substance and NO, indirectly, the visceral vasoconstriction, reduced blood flow, the portal pressure decreased heart. ], Octreotide also shrink the role of lower esophageal sphincter, thereby shrinking esophageal venous plexus, the esophageal varicose vein blood flow,Écharpe Burberry, the portal pressure decreased H]. Portal vein blood flow decreased 25% to 35%, reduce portal pressure by 12.5% ​​~ 16.7%, Guchang for esophageal and gastric variceal bleeding on the exact effect of bleeding, and has been widely used in the clinical. The group treatment results further verify the rescue of Hospice and cirrhosis esophageal variceal bleeding,abercrombie deutschland, higher efficiency and faster onset time, the exact effect of recent bleeding, the recurrence rate is small, and safe, convenient and less side effects. Despite higher prices, but the effects are positive. We believe that Hospice for cirrhosis and esophageal and gastric variceal hemorrhage is a safe and effective drug for the clinical treatment method is simple, acute bleeding rate, rebleeding rate,ralph lauren polo, mortality is low, especially for not carrying out Endoscopic sclerotherapy and esophageal and gastric varicose vein ligation in the hospital, the application of octreotide treatment - is an ideal and effective drug.