It's 4 o'clock in the morning
Everywhere in the street is quiet
But the Li family can't be calm at all
Because the mother at home
is right Vomiting blood in a big mouth
Vomited a basin of blood
"Vomited a basin of blood." Sister Li's (pseudonym) son said that he heard abnormal noises in his mother's room in the middle of the night. He got up and opened the door of his mother's room and saw that his mother was vomiting blood wildly. She vomited a basin full of blood and a large number of blood clots. At 4:30 in the morning, the emergency room of Shenzhen Hezheng Hospital received the patient who was vomiting blood. He was immediately examined and sent to the emergency room.
On the verge of life and death, we work together to rescue
Sister Li (pseudonym) originally suffered from liver cancer and cirrhosis , but this was the first time she vomited blood like this. The whole Li family was at a loss and very worried about this. It was Dr. Jiang Xun from the emergency department who received Sister Li. When Sister Li was admitted to the hospital, it was initially assessed that the amount of blood she vomited exceeded 1000ml. Based on the medical history, the diagnosis was considered to be acute upper gastrointestinal bleeding. Dr. Jiang Xun immediately arranged for Sister Li to enter the emergency room and give ECG monitoring, oxygen inhalation, opening of two venous passages, rapid fluid replenishment, stabilization of vital signs, acid and enzyme suppression to stop bleeding, and other emergency measures, and emergency examination of blood routine, blood type, four items before blood transfusion, liver and kidney function, electrolytes, cardiac enzymes, and coagulation function.
Emergency Department, Gastroenterology Department, Critical Care Department and other related specialist consultations, and told Sister Li’s (pseudonym) family that this situation may lead to severe vomiting of blood to shock , and tracheal intubation and cardiopulmonary resuscitation are required if necessary. The family members expressed their knowledge and actively cooperated with the treatment. Thanks to the joint efforts of Dr. Hezheng's team, the patient's bleeding was temporarily controlled, he did not vomit blood again, and his vital signs stabilized.
Multidisciplinary consultation turned the crisis into safety
A few hours later, the test results came out quickly. After comprehensive examination results and the patient’s medical history, it was considered after multidisciplinary consultation that the patient might be bleeding due to rupture of gastroesophageal varices due to cirrhosis. In order to prevent the possibility of recurrence in the short term, bedside emergency endoscopic hemostatic treatment was immediately performed by the gastroenterology department.
Afterwards, she received careful treatment from doctors at the Department of Gastroenterology. Through acid suppression, stomach protection, portal vein pressure reduction, blood transfusion, fluid rehydration, support, etc., Sister Li’s bleeding condition was stable and she did not complain of any special discomfort. After 10 days of treatment, Sister Li was found to be conscious and in good spirits, breathing steadily, with no abnormality in cardiopulmonary examination, no pain in abdominal pressure, and no palpable lumps. Sister Li's liver cirrhosis had improved significantly. After discussion with the hospital, her family decided to discharge her from the hospital with medication control and come to the hospital for regular physical examinations.
Why does liver cirrhosis lead to vomiting blood?
Liver cirrhosis is a common disease of the digestive system. Common causes of liver cirrhosis include viral hepatitis, steatohepatitis and alcoholic hepatitis. After suffering from the above diseases, long-term and repeated liver damage gradually evolves into liver cirrhosis (commonly known as cirrhosis). When the liver function decompensates and cannot perform normal metabolic functions, in addition to symptoms such as nausea, vomiting, indigestion, etc., it can also cause varicose veins, which can easily lead to gastrointestinal bleeding symptoms. Treatment requires treatment of the underlying disease of liver cirrhosis, and additional treatments such as reducing portal pressure and stopping bleeding.
What causes liver cirrhosis
The main causes of liver cirrhosis are fatty liver, alcoholic hepatitis, viral hepatitis and autoimmune hepatitis, as well as cholestasis, drugs, nutrition and other factors that cause long-term damage.
How to prevent cirrhosis of the liver
To prevent cirrhosis, be careful not to drink alcohol, because alcohol will accelerate cirrhosis of the liver.At the same time, we should also pay attention to the prevention of viral hepatitis. If you find hepatitis , you should go to the hospital in time and receive corresponding treatment according to the test results. You should also control your weight and prevent fatty liver. You should maintain good living habits, do not overeat, and do not eat spicy and greasy food, which will cause burden on the liver. You can properly supplement vitamin and potassium to improve the body's immunity . You can also eat more bananas to keep the stool smooth.
reminds everyone that you must take good care of your liver, drink less, and stay up late. Once cirrhosis of the liver is discovered, you must seek medical treatment promptly to avoid shock caused by vomiting blood. For first aid questions, please click to consult the emergency department!
