The 48 -year -old man vomited violently after drinking a lot, and he almost died more than ten times of vomiting.
Author:Hunan Medical Chat Time:2022.09.09
"Think about it, I was afraid of it. I didn't expect to drink my life." Mr. Zhu, 48, 48, Hunan, was emotional when he was discharged from the hospital.
A few days ago, Mr. Zhu drank a lot of alcohol at dinner, then vomited severely, and began to vomit blood, more than ten times, and the vomiting dark red blood was mixed with blood clots, which was very scary.
Mr. Zhu immediately felt weak and very weak. The family quickly sent it to the Hunan Provincial People's Hospital. It was diagnosed with the lower end of the esophagus-the cardia mucosa to tear and bleed, and the blood loss shock.
After Mr. Zhu was sent to the People's Hospital of Hunan Province, a large amount of blood and blood clots were seen under the emergency gastroscopy. Then he was transferred to a pathogenesis in the Department of Gastroenterology for further treatment. On the night of hospitalization, Mr. Zhu vomited about 1100ml of blood, and his blood was about 200ml. The condition was urgent. Essence
The digestive doctor immediately performed endoscopic detection and found that the range of bleeding was torn in the lower end of the esophagus-cardia mucosa, and gave six titanium clip hemostatic treatment. The bleeding stopped, and Mr. Zhu broke away from the danger of life.
[The doctor treats Mr. Zhu under the endoscope]
After another week of hospitalization and care, Mr. Zhu was discharged from the hospital on September 9.
According to Liu Peng, director of the Internal Medicine of the People's Hospital of Hunan Province, the total blood volume of normal adults is about 4000 ml to 5000 ml.
Shocks will occur when the total blood loss reaches the total amount of blood. If the amount of blood loss is more than 30%of the total blood, it will die in a short time in a short time.
The activity bleeding caused by the onset of esophageal cardia mucosa tear (MWS) is extremely dangerous. It is an important cause of upper digestive tract bleeding. It is one of the acutes that seriously threaten patients' lives in the clinic. Bleeding occurs. It is important to treat timely and effective treatment in a timely manner.
Director Liu Peng said that the cardia and nearby mucosa were weak, the mucosal muscle layer was poor, and the lack of support tissue around it, so the sudden increase in pressure in the stomach was easy to tear.
The esophageal cardia mucosa tear is generally torn bleeding due to severe vomiting caused by severe vomiting caused by severe vomiting, and the gastric wall's strong contraction and the cardia of the cardia is not opened.
Excessive drinking is the main cause of the esophageal cardia mucosal torn. Pentoplasty, pregnancy reaction, pharmaceutical chemotherapy, vomiting and gastric vomiting can also cause the disease.
[After treatment, Mr. Zhu turned to danger and was discharged smoothly]
Director Liu Peng reminded that the Mid -Autumn Festival is approaching. Everyone will inevitably have two cups with friends, and pay attention to preventing the gastrointestinal bleeding after drinking.
First of all, the most important thing is to avoid alcoholism. Drinking is not available.
Secondly, we must actively treat primary liver disease and stomach disease, fully rest, avoid staying up late and overwork, and maintain a happy mood.
Finally, it is necessary to limit the intake of irritating foods such as tobacco, coffee, and strong tea.
It should also be reminded that if there are similar symptoms of Mr. Zhu, you need to implement the correct rescue, ban diet, avoid strenuous activities, lying as much as possible, and at the same time bias on one side to keep the respiratory tract open, avoid vomiting reflux cause caused Asphyxia and go to the hospital for treatment under the escort of the family. If necessary, you can call the 120 emergency hotline for help.
(Edit Rainbow.)
Hunan Medical Chat Special Author: Li Jin, a diseased area of digestive medicine in Hunan Provincial People's Hospital
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