一旦发生消化道出血的症状,应该怎么办呢?
来源:    发布时间: 2018-09-22 01:57   18 次浏览   大小:  16px  14px  12px


消化道出血是指由消化道病变引起的症状,主要表现为吐血或者便血的现象,如果是患者有吐血现象要先排除一下呼吸道疾病,比如咳嗽、气管、肺部的出血,消化道出血的症状,消化道出血的严重程度主要取决于病变的性质,部位,与患者的年龄,肾功能等全

消化道出血是指由消化道病变引起的症状,主要表现为吐血或者便血的现象,如果是患者有吐血现象要先排除一下呼吸道疾病,比如咳嗽、气管、肺部的出血,消化道出血的症状,消化道出血的严重程度主要取决于病变的性质,部位,与患者的年龄,肾功能等全身的身体状况,消化道急性出血一般表现为吐血现象,慢性出血一般表现为排便带血的现象。

Gastrointestinal bleeding refers to the symptoms caused by gastrointestinal diseases, mainly manifested as hematemesis or hematochezia in stool. If the patient has hematemesis, the lower respiratory tract diseases, such as cough, trachea, lung bleeding, gastrointestinal bleeding symptoms, the severity of gastrointestinal bleeding mainly depends on the nature of the disease. Location, and patient's age, kidney function and other systemic physical conditions, acute gastrointestinal bleeding is generally manifested as vomiting, chronic bleeding is generally manifested as the phenomenon of blood in stool.

 

怎么判断消化道出血的位置呢?

How can we determine the location of gastrointestinal bleeding?

 

1、呕血

1. Hematemesis

 

当患者呕吐物的颜色呈鲜红色或者暗红色时,一般是上消化道出血,当呕吐物是咖啡色时就是消化道出血,颜色不同是由于血液中的血红蛋白在胃部停留的时间,时间长了在胃酸的作用下转变成了铁红蛋白所导致血液颜色发生变化。但是要注意,咳嗽中带血一般是呼吸道疾病,唾液中带血是口腔出血或者牙龈出血,跟消化道出血关系不大。

When the color of vomit is bright red or dark red, it is usually upper gastrointestinal bleeding. When the vomit is brown, it is gastrointestinal bleeding. The color difference is due to the hemoglobin in the blood staying in the stomach for a long time under the action of gastric acid into hemoglobin resulting in blood color. Change. But it should be noted that coughing with blood is generally respiratory disease, saliva with blood is oral bleeding or gum bleeding, with gastrointestinal bleeding is not related.

 

2、黑便

2, black stool

 

如果消化道出血后,在肠腔内停留一段时间后,血液就会慢慢呈现黑色,这就会导致排出的大便一般是黑色的。如果排除黑色大便并且还伴有吐血现象,一般是上消化道出血,但如果单纯黑色的出血就有可能是整个消化道的任何一处。

If the digestive tract bleeding, stay in the intestinal cavity for a period of time, the blood will slowly appear black, which will lead to the discharge of stool is generally black. If black stool is excluded and accompanied by hematemesis, it is usually upper gastrointestinal bleeding, but if only black bleeding may be the entire alimentary tract anywhere.

 

一旦发生消化道出血的症状,应该怎么办呢?

Once the symptoms of gastrointestinal bleeding occur, what should we do?

 

3、便血

3.

 

当患者排便是鲜红色或者暗红色时,一般是下消化道出血,但是如果体内大量的细菌来不及分解血液时,有时也会是红色的大便,如果便血和大便是分离的,那么出血的部位应该是靠近肛门,如果血和大便想混,有可能是下消化道较高的部位,但是也要注意,如果平时吃的食物中含红色成分如西瓜,红色火龙果等,也会出现大便暗红色的现象,所以一定要注意。

When the patient's bowel movement is bright red or dark red, usually lower gastrointestinal bleeding, but if a large number of bacteria in the body can not decompose blood, sometimes it will be red stool, if blood and stool are separated, then the bleeding site should be close to the anus, if the blood and stool want to mix, it may be down. Higher parts of the chemical tract, but also pay attention to, if the usual food containing red ingredients such as watermelon, red dragon fruit, etc., will also appear dark red stool phenomenon, so we must pay attention to.

 

总的来说,患者在平时如果有便血或者吐血现象,无论血量的大小,都应该及时去医院检查,这都说明消化道有了病变,必须是要特别注意的是上腹憋闷,恶心,同时面色苍白,出冷汗心慌等症状,这些都是消化道出血的症状。

Generally speaking, if the patient has hematochezia or vomiting, regardless of the amount of blood, they should go to the hospital in time for examination, which shows that the digestive tract has a lesion, we must pay special attention to the upper abdominal depression, nausea, paleness, cold sweat and panic symptoms, these are symptoms of gastrointestinal bleeding.

 

一旦发生消化道出血的症状,应该怎么办呢?专家表示,要做好以下4步骤:

Once the symptoms of gastrointestinal bleeding occur, what should we do? Experts said that the following 4 steps should be taken:

 

1、保持镇静,平卧;

1, keep calm and lie down.

 

2、大量出血者宜禁食,少量出血者可适当进食冷的流质(如凉开水),使胃部降温,从而使血管收缩、血流减少,并可使胃分泌和消化受到抑制;

2. Large amount of bleeding should be fast, a small amount of bleeding can be appropriate to eat cold liquid (such as cold boiled water), so that the stomach cooling, so that blood vessels contraction, blood flow reduction, and gastric secretion and digestion are inhibited;

 

3、注意保持呼吸道通畅,呕血者头必须偏向一侧,避免呕吐物堵塞气道,造成窒息;

3. Pay attention to keep the airway unobstructed, hematemesis head must be biased to one side, to avoid vomiting obstruction of the airway, causing asphyxia;

 

4、尽快用担架送往医院抢救。

4, use a stretcher as soon as possible to the hospital.

 

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