Gastric ulcer perforation emergency measures

For patients diagnosed with gastric perforation, the first to fasting. Re-condition, diagnosed as acute perforation, attention should be paid to blood pressure, pulse, breathing in water and electrolyte changes, and to take emergency measures following:

(1) analgesia: a clear diagnosis as soon as possible after pain, usually with meperidine 80 mg or 10 mg of morphine injection.

(2) oxygen.

(3) intravenous infusion: General to lose balance can be liquid or glucose drip, a shock if the patient can join the expansion of vascular medicine at one blood volume.

(4) gastrointestinal decompression.

(5) Use of Antibiotics: first choice of general broad-spectrum antibiotics, according to bacterial culture after the results of adjustments to match sensitive drugs.

Treatment: Surgical treatment of non-surgical treatment

(A) non-surgical treatment of indications

(1) treatment of patients earlier, stomach contents into small abdominal cavity, the performance of peritonitis is very light, easy to be controlled by the gastrointestinal decompression.

(2) small perforated ulcer or have been blocked.

(3) fasting perforation, admission peritonitis in the light signs.

(4) patients, and the hospital after preliminary treatment, reduce the symptoms of peritonitis.

(B) surgical treatment of indications

(1) acute diffuse peritonitis obvious signs, like elevated body temperature and blood.

(2) anti-shock symptoms, the initial emergency treatment to be the opportunity for surgical treatment.

(3) in the inspection and asked about past history, proved to be pyloric obstruction.

(4) In the past, clear ulcer.

(5) perforation of the merger were bleeding.

(6), as non-surgical treatment, not better, condition