Gastric bleeding, 1. Cause: mainly tumor surface damage, infection, inflammation, ulcers erode blood vessels, wound bleeding and tumor rupture. In general, gastric ulcer hemorrhage in adenocarcinoma and undifferentiated carcinoma of the majority, the former accounting for about 40% -65%, which accounts for about 12% -63%.
2. Clinical manifestations: In addition to gastric cancer in the general performance, but according to different levels of bleeding, patients showed different. Chronic performance of a small amount of bleeding, anemia, fatigue, and persistent positive fecal occult blood. Overt bleeding is manifested anemia and melena. Bleeding was manifested as hematemesis, melena, or even hemorrhagic shock.
3. Diagnosis: According to the history and physical examination, while some of the necessary supporting checks and more accurate diagnosis can be drawn. In all secondary examination, endoscopic most valuable. Endoscopy can confirm the diagnosis, determine the lesion.
4. Treatment:
(1) Non-surgical treatment: the smaller the amount of bleeding can be first non-surgical treatment, pending further checks clear diagnosis, and make some preparation before, and then underwent surgery. Endoscopic hemostasis can do it.
Gastric bleeding, (2) surgical treatment: bleeding a large quantity, to be active preparations, should prompt surgical treatment. Surgical methods include: radical gastrectomy, palliative resection, vascular suture lesion exclusion technique and so on.