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Elderly hip arthroplasty emergency ulcer prevention and treatment

Diffusion, the actual H-back into the mucosa of the total increase, leading to ulcers, which is antacids can prevent stress ulcer management. Many scholars believe that the present is the result of many factors: the body of the surgical stress stimulate the central nervous system * First, the first orthopedic hospital in Chengdu (61003I) 2009 年 O8 Received April l1 system at the functional changes causing neurotensin (NT), dopamine (DA) neurotransmitter metabolism, release and transfer, and finally the central nervous system caused by changes in gastric mucosa ...; the body in stress,timberland shoes, can cause dysfunction in the hypothalamus , secrete large amounts of adrenocorticotropic hormone (ACTH), the role of the gastric secretion, cause mucosal erosion and ulceration; Some people think that the body a number of inflammatory mediators, platelet activating factor (PAF), calcium overload, plasma endotoxin (LPS ) and other cytokines substances involved in the pathogenesis of stress ulcer and plays an important role. Therefore, this complication of gastric mucosal barrier damage and gastric acid, pepsin function is closely related to postoperative stress stimuli lead to dysfunction of the autonomic nervous system. Hypothalamic dysfunction, neurotransmitter secretion imbalance, with abdominal visceral blood vessels, leaving the reduction of gastric mucosal blood flow, inhibit the secretion of gastric mucus, gastric acid secretion relative increase in the mucosal epithelial cell degeneration and necrosis, resulting in mucosal edema,ugg schuhe, erosion and ulcer formation Erzhi bleeding. 3.2 Observation of disease: stress ulcer occurs, it is most common in black, appear severe vomiting, vomiting blood. Patients with abdominal discomfort, abdominal pain or bloating, bowel sounds active, or hyperthyroidism, the amount of bleeding who have hypovolemia performance. Therefore, patients tarry stools, vomiting brown liquid, unstable blood pressure, anemia, medical staff have to think about the possible occurrence of stress ulcer. Stress ulcer bleeding, severe cases, shock due to blood loss can be life-threatening, should attach great importance. Note that careful analysis of the patient's subjective symptoms, such as occurs hiccups, nausea, palpitation, abdominal discomfort or abdominal pain may be the performance of stress ulcer bleeding; observation of the patient's heart rate, pulse, blood pressure and other vital signs, were analyzed; Observing No hematemesis and melena, and note its color, character and amount of dynamic change, make records. If the increased frequency of hematemesis and melena, the color turned dark red or red, you are prompted to increase bleeding, should promptly report it, act accordingly. The confusion of brain injury, can not complain of abdominal pain or discomfort, should be to observe whether the unexplained bloating or abdominal distension, which are often signs of blood in the stomach. Psychological care treatment measures 3.3 3.3.1: Stress ulcer bleeding is a comprehensive neuroendocrine system responses, has been ascertained for the stress ulcer bleeding, psychological care. Timely mental ease, reduce tension, can reduce the reactivity, contribute to disease recovery. 3.3.2 Medication: oral hemostatic solution temperature should be lower than body temperature, 4 ~ 1O degrees is best, because of local vasoconstriction at low temperature can help to stop bleeding; intravenous omeprazole should be used to configure the attached special solvent , slow injection (per 10ml solution. containing 40mg omeprazole) less than 2.5 minutes; hemorrhagic shock who, according to conventional rapid establishment of intravenous access, with additional blood volume as quickly,keen shoes sale, if necessary, enter the blood. Observe and record the awareness, skin temperature, pulse, blood pressure, urine output. 3.3.4 gastric tube placement: stress ulcer bleeding in the meaning of indwelling gastric tube: the nature of the dynamic monitoring of gastric juice, gastrointestinal bleeding in a timely manner in order to make judgments; providing an easy route of administration; aspiration of gastric contents, reducing the stomach tension and gastric mucosal ischemia, in order to facilitate the repair of gastric mucosa to prevent vomiting and aspiration caused by asphyxia; nasal feeding food during the severe stroke patients can not eat the best way to maintain nutritional _2j. Observe the color of juice out of time, nature and quantity of the change; any liquid or dark red brown liquid out of, shall report to the doctor. Patients with heavy bleeding, blood pouring from the stomach,ugg stiefel, should pay attention to maintaining tube patency, coma patients to fixation tube, to prevent prolapse. 3.3.5 Diet: diet is conducive to care and to stop bleeding and promote lesion recovery,mbt shoes italia, otherwise, may induce bleeding worse. 24 to 72 hours until the bleeding stopped after a stable condition, and gradually give light digestible liquid diet, avoid high-protein food. The rest of those who did not give cold liquid fast food, smaller meals, avoid sour, hot, hard, cold food, avoid harsh, crude fiber foods.