Key Word(s): 1. gastrointestinal bleeding Presenting Author: XIU QING WEI Additional Authors: JIN TAO, BIN WU Corresponding Author: XIU QING WEI Affiliations: The Third Affiliated Hospital of Sun Yat-Sen University; Third Affiliated Hospital, Sun Yat-Sen University Objective: To introduce a rare cause of upper gastrointestinal bleeding. Methods: The medical course of a rare patient with upper gastrointestinal bleeding caused by gastric cavernous hemangioma was presented in brief. Results: We report a case of a 41-year-old man who suffered from shock due to a sudden onset of hematemesis and melena. Endoscopy Metabolism inhibitor revealed a 5 cm x 1.5 cm mass mimicking a varices which is
located along with lesser curve and the gastric fundus. Abdominal contrast-enhanced CT revealed huge tumor about 10 cm x 6 cm huge mass originated from the lesser curve of the stomach with the blood supply from the left gastric artery. Based on his clinical appearance and the laboratory results, the patient was diagnosed with gastric hemangioma. In the laparotomy, the tumor was cut off and a total gastrectomy was performed. The final diagnosis
of cavernous hemangioma arising from the gastric was confirmed by postoperative pathological examination. Conclusion: Gastric cavernous hemangioma can be present as severe upper gastrointestinal bleeding. Key Word(s): 1. cavernous hemangioma; 2. upper gastrointestinal bleeding Presenting Author: ZHI E WU Additional Authors: YAN Smad inhibitor PING LIANG, JIN TAO Corresponding Author: ZHI E WU Affiliations: The Third Affiliated Hospital of Sun Yat-Sen University; Third Affiliated Hospital, Sun Yat-Sen University Objective: To summarize the nursing experience of acute upper gastrointestinal hemorrhage. Methods: 162 patients (58 from esophageal and/or gastric varices and 104 from non-varices) with acute upper gastrointestinal hemorrhage were analyzed on
nursing, Teicoplanin therapy and prognosis. Results: 3 cases were dead because of 3 times hemorrhage, 2 cases were dead because of liver failure, 2 cases were transferred to the surgery department, the other patients were successful rescued by using emergency endoscopic treatment, including sclerotherapy, ligation, titanium clips and medical treatment, and leaved hospital without re-bleeding in a long-term follow. By the same time, observing closely, taking urgent measure in a timely manner, strengthening the basic care and symptomatic care, ensuring the blood volume and taking care of patients’ psychological condition were needed to be performed in the full phase of stopping bleeding and the recovery phase. The careful nursing methods and strategies significantly improved the therapeutic treatment and prognosis of patients of acute upper gastrointestinal hemorrhage.