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一、局部用药1.凝血酶 1～2万 u,一日3～4次,口服。此药在酸性环境下不被活化,故应同时服用磷酸钡或牛奶50ml。2.硫糖铝片近年来国外报道,口服大剂量硫糖铝片治疗消化性溃疡出血有良好疗效,可与甲氰咪呱相媲美。用量为每次2克(即8片),每日4次。3.去甲肾上腺素可使胃肠粘膜出血区域的小动脉强烈收缩,减少局部血流量,并能减少胃酸分泌,可用于急性胃粘膜损害及消化性溃疡,同时可降低门静脉压,亦可用于食管静脉曲张破裂出血。其方法有:①口服或胃内灌注:8mg 去甲肾上腺素加入生理盐水100～200ml 中一次灌注,若无效,可于1～2小时后重复1～2次。若仍无效则不宜再使用;②
First, the local drug 1. Thrombin 1 ~ 2 million u, 3 to 4 times a day, orally. This drug is not activated in acidic environment, it should also take 50 mg of barium phosphate or milk. 2. sucralfate In recent years, foreign reports, oral administration of sucralfate in the treatment of peptic ulcer bleeding has a good effect, comparable with cimetidine. The dosage for each 2 grams (ie 8), 4 times a day. 3. Norepinephrine can cause gastrointestinal mucosal hemorrhage area arterioles strong contraction, reduce local blood flow, and can reduce gastric acid secretion, can be used for acute gastric mucosal damage and peptic ulcer, while reducing portal pressure, can also be used to Esophageal variceal bleeding. The methods are: ① oral or gastric perfusion: 8mg norepinephrine added saline 100 ~ 200ml in a perfusion, if invalid, can be repeated 1 to 2 hours after 1 to 2 hours. If it is still invalid, it should not be used again;