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Home > West Medicine > Surgery > General Surgery
百科

Bleeding gastric ulcer

普外科

Common symptoms

四肢湿冷、消化道穿孔、虚脱、肠鸣、面色苍白、良性溃疡改变、胃痉挛、溃疡分泌物恶臭、头晕

The pathology of disease

Bleeding gastric ulcer is upper GI bleeding from peptic ulcer; melena/hematemesis; hemodynamic instability; urgent endoscopy; PPI; hemostatic therapy; H. pylori.

Symptoms

Melena; hematemesis; epigastric pain; syncope; NSAID/H. pylori history; anemia; urgent endoscopy

Causes

Peptic ulcer; H. pylori; NSAIDs; aspirin; stress.

Treatment

Resuscitation; IV PPI; urgent endoscopy (clipping/injection/coagulation); treat H. pylori; surgery if refractory

Dept

Gastroenterology / surgery / emergency.

Warm reminder: Health education reference only; seek care at regular hospital.