Esophageal varices bleeding, swift, powerful, dangerous, if not actively take measures, patients are often in the short term due to excessive bleeding and death. Is one of the reasons advanced cirrhosis deaths. Esophageal varices bleeding treatment measures including the general treatment and special treatment of two parts: (A) general treatment (1) to correct shock, systolic blood pressure of 13.3 kPa (100 mm Hg) around. (2) ensure that the airway open. (3) fasting, fluid replacement, blood transfusion. (4) sedation: tied with fixed, diphenhydramine 30 mg intramuscular injection 5 mg or stability. (5) in the treatment of liver coma: Elimination of gastrointestinal bleeding, oral lactulose syrup, 60-240 ml per day, vinegar enema or oral neomycin, to curb bacterial growth, reduce ammonia production. (B) special treatment (1) Two-sac of oppression three cavity to stop bleeding: emergency stop bleeding is the main method is simple, but they must meet in order to carry out the next. (2) continuous infusion Pituitrin: every minute intravenous infusion 0.2-1.5 units. (3) by endoscopic injection sclerotherapy: divided into intravenous injection and intravenous next to the two methods. (4) endoscopic argon laser therapy to stop bleeding. (5) of gastric vein thrombosis: percutaneous transhepatic into operation, the superior mesenteric artery law. (6) emergency surgery.
