Risk factors and daily care of upper gastrointestinal bleeding in patients with liver cirrhosis (Yu Guangqiu transfer network)

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In patients with liver cirrhosis, portal hypertension is the main cause of death, and the mortality rate is 25% to 35%. The predisposing fac

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In patients with liver cirrhosis, portal hypertension is the main cause of death, and the mortality rate is 25% to 35%. The predisposing factors and daily care are as follows:

1 diet food or meal to make swallowing stiff thin and fragile varicose vein by external mechanical trauma, rupture and bleeding, the bleeding often and without aura. Therefore, avoid irritating food, a small number of meals.

2 increase of intraabdominal pressure of upper respiratory infection and severe cough, frequent hiccups, vomiting, can cause increased intra-abdominal pressure, the varices esophageal variceal bleeding. Should be psychological counseling.

3 abnormal mood swings or mental stress can cause a large number of catecholamine release in the body, leading to peripheral vasoconstriction, the relative increase in venous blood volume, resulting in esophageal variceal bleeding. Reflux esophagitis patients after dinner to stay upright, avoid excessive weight, do not wear tights, raise the bed 15 - 20cm.

4 chemical stimulation of gastric mucosal inflammation, erosion and ulcer often occurs in patients with portal hypertension, the total incidence rate of 90%, a large amount of ascites susceptible to esophageal reflux caused by reflux esophagitis, but also one of the main causes of upper gastrointestinal bleeding. Reflux esophagitis patients after dinner to stay upright, avoid excessive weight, do not wear tights, raise the bed 15 - 20cm.

5 hypocalcemia hypocalcemia may be related to the bleeding, calcium ion is factor IV, play an important role in the blood coagulation process. Hypocalcemia in patients with liver cirrhosis may be due to inadequate intake, vitamin D deficiency, low plasma albumin. Timely check blood calcium, observe patients without neuromuscular hyperexcitability and there is no systemic bone pain, intake of calcium rich foods, such as milk, liver, shrimp, necessary oral calcium gluconate oral solution, more than the sun.

Positive daily care can significantly reduce the incidence of esophageal variceal bleeding, improve the quality of life of patients.

 

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