| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, namely to abdominal surgery. It is found out if patient complains of weakness, dizziness, cold sweat and vomiting, determined are anamnesis duration, patient's general state, pallor of skin and mucous membranes, pulse, arterial systolic pressure, type of feces. Endoscopically stomach contents, type of hemorrhage, thrombus colour, vessel visibility are determined. Content of erythrocytes and hemoglobin are determined. In case if expressed weakness, expressed dizziness, cold sweat, repeated coffee-grounds vomiting with blood clots, 1-6 hour anamnesis, extremely severe or severe general state, expressed pallor of skin and mucous membranes, pulse 90 beats/min and more (tachycardia), systolic arterial pressure lower than 90 mm Hg, liquid tarry stool, contents of stomach in form of coffee-ground with fresh blood clots, jet bleeding, thrombus of scarlet colour, visible vessel, number of erythrocytes lower than 2.5ù1012/l, hemoglobin concentration less than 83 g/l are present, type of hemorrhage is estimated as arterial and emergency surgery is considered indicated. In case of presence of moderate weakness, slight dizziness, absence of cold sweat, single coffee-ground vomiting, anamnesis of more than 6 hours of relatively satisfactory or middle severity of general state, moderate pallor of skin and mucous membranes, pulse lower than 90 beats/min, systolic arterial pressure 90 mm Hg and higher, formed feces of black colour, stomach contents in form of coffee-ground with remnants of food, blood flowing from edges or bottom of ulcer, thrombus of dark colour, absence of visible vessel, number of erythrocytes 2.5 ù 1012/l and higher, hemoglobin concentration 83 g/l and higher, type of hemorrhage is estimated as venous and conservative treatment is considered to be indicated. ^ EFFECT: invention application increases accuracy and simplifies method. ^ 3 dwg, 1 tbl, 3 ex |
