mbt hommes Acute upper gastrointestinal bleeding e

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Acute upper gastrointestinal bleeding endoscopic treatment progress

lupperGIbleeding [J] AnupdateEnd ~ copy, 1997; 29:91 ~ 95. OhtaS. YukiohaT, MiyogataniY, etalH mouth t Business sWithendoscopitinalbleedingincriticallyillpatients [J]. AmJGastroemina1.1996; 91:701 ~ 704. WU Yun-lin. Zhong Jie. Yao-Zong Yuan, et al. The sunglasses metal clips treatment of gastrointestinal acute bleeding [J]. Chinese Journal of Digestion, 1998; 18 (3): 251 ~ 252. 『Yin Ping. Weeks to illness. Xia Lei, et al. Endoscopic treatment and prevention of gastrointestinal bleeding clamp study [J] Chinese Journal of Digestive Endoscopy, 1999; 16 (1): 7 ~ 9. HokamaA, UeharaT. Nakayc ~ hiT. alUt0ityofen-doscop ~ hemoclippingforcolonicdiverticularbJeeding [J]. AmJGastroentero1.1997; 92 (3): 543 ~ 546. OhtaS, YukiokaT, OhtaS, eta1. Hemostasiswithendo-scopiehemodippingforseveregastrointestinalbleedingincrticallyillpatients [J]. AmJ ~ troentera1.1996; 91 (4) :701 - 704 Received Date :200003-03; Tim set the date :2000 -06-19 intravenous infusion of ciprofloxacin-induced anaphylactic shock and death in 1 case Yang Meng (right River National Medical College Hospital, Baise, Guangxi 533000) Keywords: ciprofloxacin; hypersensitivity; shock prince Yu DOI: R593.1 Document code: B Article ID :1001 -5817 (2001) 02-0305-- Case report 011 patients. Male, 43 years old. Storm , followed by breathing, cardiac arrest. immediately stop using ciprofloxacin. to intravenous epinephrine lmg depression. adrenalin injection lmg grumble meat, while to the oxygen inhalation treatment. patient's condition did not improve after a call our hospital visits. After about 7 business n the ambulance arrived the clinic. Endotracheal intubation in the field immediately connected to the balloon assisted artificial respiration, external cardiac massage, establishment of intravenous access and intravenous injection of epinephrine,[link widoczny dla zalogowanych], aminophylline, may Lamine, Lobeline after about 5min of spontaneous breathing, heart rate recovery. 15min stable condition after a little while back to the hospital. Continues to be ventilator-assisted breathing, anti-allergic,[link widoczny dla zalogowanych], anti-shock,[link widoczny dla zalogowanych], symptomatic treatment such as admission examination: D 37 ℃, HR120/man, R26/mar), BP20. O/1463kPa. Articles by dark coma, incontinence, frequent barrier body convulsions, cyanosis of lips,[link widoczny dla zalogowanych], bilateral and other large and round pupil diameter of about 1ram, light reflex. Double lung field could be heard and a large number of G beeps. Shortness of breath and irregular. Stroke is weak, legal missing. Blood gas analysis showed severe decompensated acidosis. Blood WBC311x10 / k died after 3 days. 2 to discuss the third generation of ciprofloxacin for the synthesis of quinolone anti-vaccine drug. The bactericidal mechanism is by blocking the DNA helicase, interference with the function of DNA, leading to bacterial death. In addition. The drug also has the destruction of bacterial cell membrane, leading to loss of cell content for the rejection of logistics. Seedlings for resistance to broad-spectrum, antibacterial capability, the effect is more significant and extensive clinical application. The common adverse reactions were local skin redness, swelling, itching chu,[link widoczny dla zalogowanych], slow drip rate or after discontinuation symptoms generally do not need special treatment. However, due to anaphylactic shock ciprofloxacin clinical rare. Ciprofloxacin medical staff should raise the prevention and treatment of anaphylactic shock awareness for the first time asked allergy medication should pay attention to history, ready to rescue drugs, equipment. Medication during and after the medical staff should be closely observed. Intravenous drug drip rate should be slow. Does not have any patients to be on high alert, close observation of vital signs, ready to listen to patient complaints. In the event of anaphylactic shock, should be immediately discontinued, and promptly and decisively to rescue measures. Received :2000 -10-30--305--
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