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方法 对大出血患者,建立第一静脉通道后,立即用50％葡萄糖20ml加脑垂体后叶素5～10U静注,后以5％葡萄糖250～500ml加脑垂体后叶素20～60U,0.2～0.6U/min持续静滴,待出血基本停止,改以0.1U/min静滴,维持24～48h。同时口服冰盐水100ml加去甲肾上腺素8mg,每30min1次,每次30～50ml,连续3～4次。经上述紧急治疗的同时,建立第二静脉通道,根据病人病情,快速静脉补液、输血,可用5％葡萄糖加止血合剂、甲氰咪胍静滴,肌注维生素K_1、安络血。以上治疗无效,改用三腔二囊管压迫止血,并行必要术前准备。
Methods After the establishment of the first venous access in patients with massive hemorrhage, 50% dextrose 20 ml plus vasopressin 5 ~ 10 U was injected intravenously. After 5 ~ 10% dextrose 250 ~ 500 ml plus vasopressin 20 ~ 60 U, 0.6U / min continuous intravenous infusion until the basic stop bleeding, change to 0.1U / min intravenous infusion, to maintain 24 ~ 48h. At the same time oral ice saline 100ml plus norepinephrine 8mg, every 30min1 times, each 30 ~ 50ml, 3 to 4 times in a row. Through the above emergency treatment at the same time, the establishment of the second intravenous access, according to the patient’s condition, rapid intravenous rehydration, transfusion, available 5% glucose plus hemostatic mixture, cimetidine intravenous infusion, intramuscular injection of vitamin K_1, Anluo blood. The above treatment is ineffective, switch to three-chamber two-capsule compression hemostasis parallel preoperative preparation.