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据报告除凝血机制障碍引起的出血外,其他原因引起的上消化道出血均可局部使用去甲肾上腺素止血。其中胃、十二指肠溃疡及其浅表性粘膜病变所引起的出血疗效最好,而对门脉高压所致的食道、胃底静脉曲张破裂出血疗效差。对严重肝病或已行门腔静脉分流术者,应尽量减少去甲肾上腺素用量,腹腔内给药应慎重。临床常用方法.(1)去甲肾上腺素4~8毫克加100~250毫升生理盐水(或冰盐水、冰牛
In addition to bleeding caused by disorders of the coagulation mechanism, norepinephrine hemostasis may be topically applied to other causes of upper gastrointestinal bleeding. The gastric, duodenal ulcer and superficial mucosal lesions caused by the bleeding effect of the best, while the portal hypertension caused by esophageal and gastric variceal bleeding is poor. Severe liver disease or has been line of portal venous shunt who should try to reduce the amount of norepinephrine, intraperitoneal administration should be cautious. Common clinical methods (1) norepinephrine 4 ~ 8 mg plus 100 to 250 ml of saline (or ice brine, ice cow