The Effects of Captopril Combined with Astragalus Injection in the Treatment of Myocarditis: Observation of Curative Effect and Related Results
Function: Ugg udsalg increases heart rate and myocardial oxygen consumption. However, the application of a small dose of Captopril inhibits sympathetic nerve activity, reducing heart rate and myocardial oxygen consumption, expanding blood vessels, reducing the pre- and post-negative cylinder of the heart, improving heart function, and correcting heart failure. Modern medical research by Wang Ming indicates that Radix Astragali can induce B-F interferon in myocardial cells via T-cells to exert antiviral effects; it scavenges oxygen free radicals, limiting free radical destruction of myocardial cells and subcellular structures, stabilizing cell membranes, and protecting myocardial cells. It also enhances macrophage phagocytosis, improves natural killer cell activity, regulates immune function, and enhances body resistance. The application of Astragalus Injection in myocarditis can scavenge oxygen free radicals, decrease the production of oxygen free radicals, improve myocardial metabolism, and protect myocardial cells.
(Received export period: 2005-01-21)
In recent experience treating gastric hemorrhage after gastrectomy in 9 patients, Yan Zhifeng Abstract Objective explores and summarizes causes, treatment, and preventive measures for gastric hemorrhage after recent gastrectomies. Methods include retrospective analysis of clinical data from 9 cases of gastric resection bleeding. Results show 13 cases of bleeding in 6 cases, 2 cases of injured gastric remnant mucosa bleeding, 1 case of indwelling ulcer bleeding treated conservatively, 8 cases cured, and 1 case of gastric cancer death due to multiple organ failure. Conclusion: Preventing rebleeding is key; preoperative correct and comprehensive diagnosis, reasonable operation style, and careful surgery are very important.
Keywords: Gastrectomy; Gastric Hemorrhage. Gastrectomy is used to treat benign and malignant gastric diseases. Although the incidence of recent stomach bleeding after gastrectomy is around 1%, it is not high, but once it occurs, the fatality rate is high, reported in literature from 13% to 25%. Therefore, we must pay enough attention. From 1999 to 2003, our hospital treated 9 cases effectively, achieving satisfactory results. Clinical data shown in Table 1 includes gender, age, first operation mode, H {blood Mother III processing methods, and results.
Discussion:
1. Hemorrhage Reasons:
- Anastomotic Hemorrhage and Gastric Mucosal Bleeding: Most common, often occurring on the postoperative day, mostly due to improper operation such as suture needle distance too large, sutures over author unit: 453100 people Henan province pine, mucosal retraction leading to leakage.
- Exclusion of Ulcer Bleeding: For duodenal posterior wall penetrating ulcers, especially in elderly patients, postoperative bleeding is common after exclusion type gastrectomy.
- Bursting Leakage Coexisting Hemorrhagic Lesions: After gastrectomy, bleeding reasons can be complex, with various factors causing bleeding in different cases, such as cirrhosis, portal hypertension, esophageal varices in patients with ulcer disease or portal hemorrhagic gastritis, multiple cardiac gastric ulcers, submucosal small hemangiomas, vascular malformations, and other lesions easily omitted postoperatively.
2. Hemorrhage: Early Diagnosis:
- After subtotal gastrectomy, some dark red or brown juice may be extracted from the gastric tube, generally less than 300ml within 24 hours, gradually becoming clear, stopping bleeding.
- If continuous aspiration of fresh blood occurs postoperatively, exceeding 24 hours, it's considered postoperative hemorrhage.
- Analysis of causes of bleeding and site greatly helps treatment. For example, Bu Er duodenal ulcer finishing II type operation, Shan first considers excluding ulcer bleeding; if operation time bleeding is due to intraoperative hemostasis being inaccurate; after 4-6 days hemorrhage occurs, mostly anastomotic mucosa necrosis due to postoperative 10-20 days hemorrhage occurs, much due to anastomotic suture infection, anastomotic suture shedding, acute ulcer, acute gastric mucosal lesions induced.
This group of most patients diagnosed by emergency gastroscopy. Some patients undergoing selective angiography assist in diagnosis. Conservative treatment involves hemostasis, generally given lose cylinder, expansion and anti-shock treatment, systemic hemostatic puncture, H2 receptor blockers, somatostatin, and close observation of vital signs changes, recording hematochezia and hematemesis quantity, while choosing local, stem J medicine, stomach in norepinephrine saline (8mg/100ml), thrombin, and other hemostatic drugs. But caution should be exercised in acute gastric mucosal lesion patients as drugs can easily cause gastric mucosal ischemia, necrosis, acute cerebral hemorrhage. There have been reports of using endoscopy for injection of sclerosing spines or topical spraying of hemostatic at the bleeding point with satisfactory effect. Operation treatment: Due to a greater amount of bleeding or bleeding speed, if conservative treatment does not reduce bleeding and vital signs become unstable, immediate operation is necessary.