Treatment of subcutaneous hemorrhage in infants

Treatment of subcutaneous hemorrhage in infants

The reason for subcutaneous bleeding in infants is that we do not pay close attention to the things we need to pay attention to in our daily lives, which will cause subcutaneous bleeding in infants. If it is not treated in time, various diseases will occur, which will cause us to lose our appetite and lose our appetite. What's more, many infants with subcutaneous bleeding often suffer from excruciating pain at night, which makes many people suffer. The treatment process is long and slow, and there is no particularly good treatment method, but we cannot let the disease develop. So what are some good ways to inhibit and treat subcutaneous bleeding in infants? Next, we will introduce the treatment method of subcutaneous hemorrhage in infants.

Treatment:

In acute bleeding, aggressive treatment should be given to prevent hemorrhagic shock. Vital signs such as blood pressure, heart rate, and peripheral circulation should be monitored. At the same time, pay attention to replenishing sufficient blood volume. If blood loss is severe, blood transfusion should be given in time to perform local hemostasis in the digestive tract and systemic hemostasis.

Gastrointestinal false bleeding, such as caused by swallowing blood from the birth canal during delivery or sucking on cracked nipples, usually does not require treatment. When a newborn swallows blood from the mouth or nasopharynx and vomits blood, he should be carefully examined and local therapy and other anti-bleeding treatments should be taken. The following treatment measures are taken for true gastrointestinal bleeding:

1. Fasting

You can stop breastfeeding, keep the baby quiet and keep the airway open.

2. Relevant inspection

Urgently check routine blood test, bleeding, coagulation time, liver function, blood type, etc., and prepare blood.

3. Establish intravenous access and ensure its patency.

4. Nasogastric feeding tube placement

If there is blood in the aspirate, wash the stomach with ice-cold saline until the aspirate becomes clear.

5. Blood transfusion

10-20 ml/kg of fresh blood of the same type, which can be increased if necessary. The amount of bleeding should be determined quickly and correctly before blood transfusion.

6. Antacids

High-efficiency antacids, 0.5-1.0 ml/kg each time, once every 1-2 hours, can stop bleeding in the stomach and esophagus by maintaining gastric acid pH ≥ 5.0, but attention should be paid to side effects such as excessive sodium load and diarrhea and constipation. H2 receptor antagonists can also stop bleeding in newborns before the use of Chinese medicine gallnut decoction is started.

7. Gastric mucosal protective agent

(1) Sucralfate can dissociate into negatively charged sucrose octasulfate in an acidic environment and polymerize into a colloid, which can combine with the positively charged exudate proteins of the ulcer to form a thin film on the ulcer, protecting the ulcer from the invasion of gastric acid. In addition, it also has a certain effect of absorbing pepsin and gastric acid.

(2) Potassium bismuth citrate forms a diffuse protective layer in the acidic environment of the stomach that covers the ulcer surface, preventing gastric acid, enzymes and food from invading the ulcer. This product can also reduce the activity of pepsin, increase mucin secretion, and promote the release of prostaglandins from the mucosa, thereby protecting the gastric mucosa.

The above content introduces us to how to treat subcutaneous hemorrhage in infants. By understanding the above content, we can provide timely and effective treatment when we have subcutaneous hemorrhage in infants, so as not to worsen the infant's condition. At the same time, we should let more people master some common sense about physical health and let more people restore their health.

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