Eat a few days of spicy hot pot, the flower season girl vomit blood shock!Doctor: Please care for your "rice bag"

● Time:

September 16th

● Location:

Xiamen Hospital of Traditional Chinese Medicine

CFP picture

This morning, Sister Zhang (a pseudonym), who was almost in the Ghost Gate, was able to be discharged from the Department of Gastroenterology of Xiamen Traditional Chinese Medicine Hospital. Last Friday night, she vomited blood and blood in the emergency department of the Municipal Hospital of Traditional Chinese Medicine.

This worry -free scene originated from her dietary habit of "no spicy and unhappy". Unexpectedly, love to eat heavy taste and almost lost her life, she was worried. Before going through the discharge procedures, her face was still pale. She said to Cao Jian, a digestive physician who was responsible for rescue on the night of admission to the hospital, "The diet should be light, light, and light.

It is already a blood -loss shock in the dormitory.

At 7 pm last Friday, the 18 -year -old vocational school girl Zhang Sister Zhang suddenly vomited blood in the dormitory. The frightened roommate sent her to the emergency department of Xiamen Hospital of Traditional Chinese Medicine in the hurry of her hands. The doctor found that the data of the initial physical examination was very bad: her pale her heartbeat was 157 times/minute, and her blood pressure was as low as 86/37mmHg. To make matters worse, in the emergency room, she was still vomiting. Medical staff estimates that the amount of vomiting in the emergency room alone has reached 500 ml. Urgent blood test report, only 35g/L (115-135 normal women are 115-135), and her whole body is already in the state of blood loss in low calcium, low magnesium, low phosphorus, and other electrolyte disorders, which is life-threatening. Moreover, she still had a large amount of blood in the stool after admission, and the total blood volume reached 800 ml.

In a short time, a large number of blood loss was lost, and Sister Zhang's life was in danger. After investigating the organic lesions of other parts, the first reaction of Cao Jian, a physician on duty on the night of the municipal traditional Chinese medicine hospital, was the digestive tract bleeding. Time is urgent. The first thing is to maintain a large amount of fluid to maintain effective circulating blood capacity, blood transfusion to improve anemia, simultaneous use of hemostatic drugs, and emergency gastroscopy to find the cause of bleeding.

During the emergency gastroscopy, the doctor found that there was still a lot of blood in Sister Zhang's stomach, but no bleeding point was found after washing. The doctor went down and found that an ulcer could be seen after turning around the twelve -finger intestinal ball. The ulcer area was only 0.6 cm, which was still active bleeding.

After clarifying the cause, Sister Zhang quickly reversed her severe anemia after entering 9 units of red blood cells (1800 ml of blood) and 400 ml of fresh plasma.

Eating spicy hot pot causes ulcer surface mobility bleeding

How can a girl girl at a young age, how can there be an ulcer in the duodenal intestine? The ulcer surface is less than 1 cm. This is just the bleeding seen by the naked eye, as well as the blood stored in the intestinal cavity, plus her actual amount of bleeding in a week, far exceeding this data. Fortunately, the rescue was timely, and Sister Zhang was out of danger.

Cao Jian asked in the final analysis, and learned that Zhang Sister Zhang did not like a light diet, and usually "none is not happy". She likes to eat spicy hot pot and barbecue with her classmates. One week before this onset, she had symptoms of gurgling, but because she had no other discomfort, she didn't take it to heart. Relying on her youth, she continued to eat spicy hot pot with her friends for two or three days. She also ate a meal on the day of admission. Heavy taste foods constantly stimulate the ulcer surface, destroy the blood vessels of the intestinal wall, causing the small ulcer surface of the duodenum to active bleeding, which eventually leads to a large wound blood of a finger semi -nail cover. He vomited blood and almost lost his life.

During the treatment, Sister Zhang was diagnosed with infected with H. pylori. During the hospitalization, while cooperating with the internal and external treatment of traditional Chinese medicine, she also needed to conduct standardized anti -ulcer treatment for 8 weeks, and the subsequent options were used to eradicate Helicobacter pylori.

During this period, she should try not to eat foods that will reduce gastric acid secretion and stimulation of gastric mucosa, such as not greasy foods, various heavy tastes, spicy stimulating food, etc., so that the growth and repair of damaged gastrointestinal mucosa can be facilitated to ensure the guarantee of the gastrointestinal mucosa and ensure the guarantee. Nutrition.

【Doctor Notes】

Please care

Your "rice bag"

● Cao Jian, attending physician of the Department of Gastroenterology, Xiamen Hospital of Traditional Chinese Medicine

Sister Zhang is not the first young patient who is the first to take the stomach/duodenal ulcer because of spicy food. Every month, I can encounter five patients who have aggravated ulcers or cause acute digestive bleeding because of spicy or heavy foods. Most of them are young patients. This consequences are because they don't care about their digestive tract.

Take the stomach as an example. Stomach is a special organ. You can imagine your stomach as a bag, and this bag contains all kinds of miscellaneous things every day. If you put it in directly, the bag may break a hole soon. In order to extend the service life of the bag, it puts a layer of "underwear", that is, the gastric mucosa, so that it is not easy to be injured when it is exposed to the sweetness and bitterness. With the protection of gastric mucosa, when the pH value of gastric acid is usually 0.9-1.5, the stomach is not easily damaged by gastric juice when digesting food. However, no matter how powerful the mucosa is, there are also when you ca n’t carry it, such as taking high concentration of alcohol, large -dose aspirin, or infected with Helicobacter pylori, often hungry. Make mucosa hundreds of holes, so that mucosal inflammation, erosion, ulcer, atrophy, and even perforation occur. And now many young people love hot pot and skewers, the more spicy. Such foods are more oil and salt, high temperature, and the irritation of the digestive tract is not small. Once ulcers are caused, it cannot be underestimated.

If the ulcer penetrates the gastric and intestinal walls, food, gastric acid, etc. will enter the abdominal cavity to develop into acute peritonitis.If the treatment is not timely, life is dangerous.If the ulcer occurs repeatedly, it will cause stomach export obstruction. At this time, only surgery can be saved.

Only when you eat regularly and care for the gastrointestinal tract can the digestive tract be healthy.Young people, don't let your stomach grow first.It is the "rice bag" of the human body. The "rice bag" is unhealthy, and the nutrition cannot digest and absorb.We must pay attention to gastrointestinal diseases, standardize treatment, and do not do the "rice bag" anymore.

(Text/Xiamen Daily reporter Liu Rong correspondent Ni Jingying)

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