1, the old woman’s abdomen installed a “time bomb” once the “explosion” will be haemorrhage The patient’s grandmother Li family members said that Grandma Li was admitted to the hospital the day before the vomiting blood, because it was late at night, did not dare to “alarm “The family said that the day before she was admitted to the hospital, she had vomited blood. I didn’t expect to see another vomiting of blood at 1:00 p.m. on October 18, “when she vomited a large pool of blood, her face was suddenly white, and her limbs were still cold. We were shocked, and rushed her to the hospital.” Grandma Li’s family told reporters. The doctor estimated, based on the patient’s family description, that the patient vomited blood for the first time about 500 ml, the second vomited blood about 1,000 ml, bleeding “aggressive”. After understanding the patient’s situation, the emergency department, gastroenterology, critical care medicine and other multi-disciplinary consultation, contact the laboratory to prepare blood, the patient for gastroscopy, report to the higher doctors to request surgical support, contact the operating room to prepare …… medical staff has been ready to fight a hard battle “pre-battle preparations “. Since that day was a Sunday, under the call of Director Shi Ruihua of the Department of Gastroenterology, Li Weidong, the attending physician of the Department of Gastroenterology, Lu Baing, the attending physician, as well as the head nurse Li Yuanyuan and nurses Zhang Youzhen and Ji Qingmei, five people rushed to the hospital from home, and an hour later, the surgery began at about 5 o’clock. Director Shi Ruihua introduced that during the surgery, a blood vessel at the bottom of the patient’s stomach was found to be broken and blood was spurting out like a small column of water. After finding the bleeding mouth, Director Shi performed endoscopic ligature hemostasis for the patient to repair his bleeding and successfully stop the bleeding, and the patient’s vital signs were stable after the operation, and the hard battle was won. 2, obviously vomiting blood, why is it related to liver cirrhosis? Although Grandma Li has been suffering from cirrhosis for 5 years, why is vomiting blood so much related to cirrhosis? In people’s traditional concept, patients with cirrhosis appear in the form of symptoms such as abdominal distension, ascites, swollen feet, etc. Vomiting blood, blood in stool and other gastrointestinal bleeding manifestations and cirrhosis do not seem to get along. However, this is not entirely true. There are many causes of upper gastrointestinal bleeding, one of which is ruptured esophagogastric fundic varices bleeding from cirrhosis. “Due to increased pressure in the portal vein, patients with cirrhosis in the decompensated stage of the liver will exhibit esophagogastric fundic varices. The blood vessels of the esophagus in normal people are as thin as a hair, while the diameter of the veins in cirrhotic patients can be more than 1 cm, and once such a thick vessel ruptures, the bleeding can be imagined.” Director Shi Ruihua explained. According to Director Shi, 20%-50% of cirrhotic patients will have ruptured esophagogastric varices bleeding from cirrhosis, and if they are not treated in a reasonable and timely manner, perhaps 20% of them may lose too much blood and die. As the ruptured esophagogastric variceal bleeding varies, the best way to treat it will be different, which requires multidisciplinary cooperation. For this reason, the CUH Group of Hospitals has developed a multidisciplinary model for the joint treatment of cirrhosis-portal hypertension-variceal bleeding to provide patients with a “personalized” treatment. 3.What are the signs of cirrhosis? Director Shi Ruihua said that viral hepatitis and alcoholic hepatitis are the main causes of cirrhosis. The early symptoms of cirrhosis mainly include weakness, low fever, loss of appetite, and may also be accompanied by abdominal distension or with constipation, diarrhea or vague pain in the liver area. In some cases, jaundice and ascites may also appear. There is even a pronounced tendency to bleed. Recently, not only bleeding from the gums and nose, but also occult blood in the stool, black stools and vomit with coffee-colored vomit are all precursors of gastrointestinal bleeding. Experts recommend that patients with cirrhosis, whether or not they have had gastrointestinal bleeding, should preferably undergo gastroscopy to clarify the presence of esophagogastric fundic varices. Under the doctor’s advice, take active treatment to prevent fatal hemorrhage. Suggestion: Patients with cirrhosis should eat less fish! Since ruptured esophagogastric fundic varices bleeding is so dangerous, how should it be prevented in life besides actively treating the primary disease? Director Shi suggests that patients with cirrhosis should pay attention to their diet, eat less dregs of easily digestible soft food to prevent food from cutting the curved venous plexus; staple foods such as fermented soft foods like bread, rice cakes and steamed buns are good; avoid hard and rough foods as well as chicken and fish foods with bones and spines; eat less acid-producing and gas-producing foods and forbid strong stimulating condiments such as chili peppers, etc. In addition, they should keep their bowels open and avoid straining to defecate and coughing to increase abdominal pressure, Coughing and other behaviors that increase abdominal pressure. In addition to avoiding overexertion, it is also crucial to actively cooperate with treatment and cultivate an optimistic mood.