In severe cases of esophageal bleeding, bleeding should be stopped promptly. There is no such thing as the best treatment. It is mainly for the treatment of the cause, such as esophagitis, esophageal tumors, esophageal varices and so on, need to use medication and surgical treatment and so on.
1. Emergency treatment: If the bleeding in esophagus is serious, the bleeding should be stopped in time, such as the use of growth inhibitors, prothrombin lyophilized powder, etc. At the same time, it is necessary to assess the amount of blood loss of the patient, and according to the situation of intravenous rehydration, blood transfusion treatment.
2. Esophagitis: In addition to the above hemostatic treatment, the patient can be treated with proton pump inhibitors such as omeprazole, gastric stimulating drugs such as domperidone, mucosal protective agents such as thioglycollate, etc. as prescribed by the doctor.
3. Esophageal tumor: For patients with esophageal cancer, surgical treatment is mainly considered to stop bleeding. Such as esophagectomy, endoscopic resection and so on. Benign esophageal tumors are generally resected by thoracoscopic or open thoracic surgery.
4. Esophageal varices: endoscopic ligation of esophageal varices and sclerotherapy can be performed. Those who cannot be implemented can temporarily use three-lumen two-bladder tube compression to stop bleeding.
There are many causes of esophageal bleeding, and it is recommended to go to the hospital in time to find out the cause and timely treatment. Meanwhile, attention should be paid to avoiding aspiration, tilting the head to the side when vomiting blood occurs, placing gastrointestinal decompression and so on.