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class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Signes_i_símptomes"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Signes i símptomes</span> </div> </a> <ul id="toc-Signes_i_símptomes-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Diagnòstic" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Diagnòstic"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Diagnòstic</span> </div> </a> <ul id="toc-Diagnòstic-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Tractament" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Tractament"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Tractament</span> </div> </a> <ul id="toc-Tractament-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Referències" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Referències"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Referències</span> </div> </a> <ul id="toc-Referències-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Vegeu_també" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Vegeu_també"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Vegeu també</span> </div> </a> <ul id="toc-Vegeu_també-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contingut" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Commuta la taula de continguts." > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Commuta la taula de continguts.</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Hematèmesi</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox mw-interlanguage-selector" aria-label="Vés a un article en una altra llengua. Disponible en 29 llengües" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-29" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">29 llengües</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%AA%D9%82%D9%8A%D8%A4_%D8%AF%D9%85%D9%88%D9%8A" title="تقيؤ دموي - àrab" lang="ar" hreflang="ar" data-title="تقيؤ دموي" data-language-autonym="العربية" data-language-local-name="àrab" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-bn mw-list-item"><a href="https://bn.wikipedia.org/wiki/%E0%A6%B0%E0%A6%95%E0%A7%8D%E0%A6%A4%E0%A6%AC%E0%A6%AE%E0%A6%A8" title="রক্তবমন - bengalí" lang="bn" hreflang="bn" data-title="রক্তবমন" data-language-autonym="বাংলা" data-language-local-name="bengalí" class="interlanguage-link-target"><span>বাংলা</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/H%C3%A4matemesis" title="Hämatemesis - alemany" lang="de" hreflang="de" data-title="Hämatemesis" data-language-autonym="Deutsch" data-language-local-name="alemany" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-en mw-list-item"><a href="https://en.wikipedia.org/wiki/Hematemesis" title="Hematemesis - anglès" lang="en" hreflang="en" data-title="Hematemesis" data-language-autonym="English" data-language-local-name="anglès" class="interlanguage-link-target"><span>English</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Hematemesis" title="Hematemesis - espanyol" lang="es" hreflang="es" data-title="Hematemesis" data-language-autonym="Español" data-language-local-name="espanyol" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Hematemesi" title="Hematemesi - basc" lang="eu" hreflang="eu" data-title="Hematemesi" data-language-autonym="Euskara" data-language-local-name="basc" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%A7%D8%B3%D8%AA%D9%81%D8%B1%D8%A7%D8%BA_%D8%AE%D9%88%D9%86%DB%8C" title="استفراغ خونی - persa" lang="fa" hreflang="fa" data-title="استفراغ خونی" data-language-autonym="فارسی" data-language-local-name="persa" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/H%C3%A9mat%C3%A9m%C3%A8se" title="Hématémèse - francès" lang="fr" hreflang="fr" data-title="Hématémèse" data-language-autonym="Français" data-language-local-name="francès" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Haemaiteim%C3%A9is" title="Haemaiteiméis - irlandès" lang="ga" hreflang="ga" data-title="Haemaiteiméis" data-language-autonym="Gaeilge" data-language-local-name="irlandès" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Hemat%C3%A9mese" title="Hematémese - gallec" lang="gl" hreflang="gl" data-title="Hematémese" data-language-autonym="Galego" data-language-local-name="gallec" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-hr mw-list-item"><a href="https://hr.wikipedia.org/wiki/Hematemeza" title="Hematemeza - croat" lang="hr" hreflang="hr" data-title="Hematemeza" data-language-autonym="Hrvatski" data-language-local-name="croat" class="interlanguage-link-target"><span>Hrvatski</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Muntah_darah" title="Muntah darah - indonesi" lang="id" hreflang="id" data-title="Muntah darah" data-language-autonym="Bahasa Indonesia" data-language-local-name="indonesi" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Ematemesi" title="Ematemesi - italià" lang="it" hreflang="it" data-title="Ematemesi" data-language-autonym="Italiano" data-language-local-name="italià" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E5%90%90%E8%A1%80" title="吐血 - japonès" lang="ja" hreflang="ja" data-title="吐血" data-language-autonym="日本語" data-language-local-name="japonès" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-jv mw-list-item"><a href="https://jv.wikipedia.org/wiki/Mutah_getih" title="Mutah getih - javanès" lang="jv" hreflang="jv" data-title="Mutah getih" data-language-autonym="Jawa" data-language-local-name="javanès" class="interlanguage-link-target"><span>Jawa</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%ED%86%A0%ED%98%88" title="토혈 - coreà" lang="ko" hreflang="ko" data-title="토혈" data-language-autonym="한국어" data-language-local-name="coreà" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Bloedbraken" title="Bloedbraken - neerlandès" lang="nl" hreflang="nl" data-title="Bloedbraken" data-language-autonym="Nederlands" data-language-local-name="neerlandès" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-or mw-list-item"><a href="https://or.wikipedia.org/wiki/%E0%AC%B0%E0%AC%95%E0%AD%8D%E0%AC%A4%E0%AC%AC%E0%AC%BE%E0%AC%A8%E0%AD%8D%E0%AC%A4%E0%AC%BF" title="ରକ୍ତବାନ୍ତି - oriya" lang="or" hreflang="or" data-title="ରକ୍ତବାନ୍ତି" data-language-autonym="ଓଡ଼ିଆ" data-language-local-name="oriya" class="interlanguage-link-target"><span>ଓଡ଼ିଆ</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Wymioty_krwawe" title="Wymioty krwawe - polonès" lang="pl" hreflang="pl" data-title="Wymioty krwawe" data-language-autonym="Polski" data-language-local-name="polonès" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Hematemese" title="Hematemese - portuguès" lang="pt" hreflang="pt" data-title="Hematemese" data-language-autonym="Português" data-language-local-name="portuguès" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Hematemeza" title="Hematemeza - serbocroat" lang="sh" hreflang="sh" data-title="Hematemeza" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="serbocroat" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/%D0%A5%D0%B5%D0%BC%D0%B0%D1%82%D0%B5%D0%BC%D0%B5%D0%B7%D0%B0" title="Хематемеза - serbi" lang="sr" hreflang="sr" data-title="Хематемеза" data-language-autonym="Српски / srpski" data-language-local-name="serbi" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Hematemes" title="Hematemes - suec" lang="sv" hreflang="sv" data-title="Hematemes" data-language-autonym="Svenska" data-language-local-name="suec" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/Hematemez" title="Hematemez - turc" lang="tr" hreflang="tr" data-title="Hematemez" data-language-autonym="Türkçe" data-language-local-name="turc" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%93%D0%B5%D0%BC%D0%B0%D1%82%D0%B5%D0%BC%D0%B5%D0%B7%D0%B8%D1%81" title="Гематемезис - ucraïnès" lang="uk" hreflang="uk" data-title="Гематемезис" data-language-autonym="Українська" data-language-local-name="ucraïnès" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-vi mw-list-item"><a href="https://vi.wikipedia.org/wiki/N%C3%B4n_ra_m%C3%A1u" title="Nôn ra máu - vietnamita" lang="vi" hreflang="vi" data-title="Nôn ra máu" data-language-autonym="Tiếng Việt" data-language-local-name="vietnamita" class="interlanguage-link-target"><span>Tiếng Việt</span></a></li><li class="interlanguage-link interwiki-za mw-list-item"><a href="https://za.wikipedia.org/wiki/Rueglwed" title="Rueglwed - zhuang" lang="za" hreflang="za" data-title="Rueglwed" data-language-autonym="Vahcuengh" data-language-local-name="zhuang" class="interlanguage-link-target"><span>Vahcuengh</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E5%91%95%E8%A1%80" title="呕血 - xinès" lang="zh" hreflang="zh" data-title="呕血" data-language-autonym="中文" data-language-local-name="xinès" class="interlanguage-link-target"><span>中文</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E5%90%90%E8%A1%80" title="吐血 - cantonès" lang="yue" hreflang="yue" data-title="吐血" data-language-autonym="粵語" data-language-local-name="cantonès" class="interlanguage-link-target"><span>粵語</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q1570161#sitelinks-wikipedia" title="Modifica enllaços interlingües" class="wbc-editpage">Modifica els enllaços</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Espais de noms"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-nstab-main" class="selected vector-tab-noicon mw-list-item"><a href="/wiki/Hemat%C3%A8mesi" title="Vegeu el contingut de la pàgina [c]" accesskey="c"><span>Pàgina</span></a></li><li id="ca-talk" class="new vector-tab-noicon mw-list-item"><a href="/w/index.php?title=Discussi%C3%B3:Hemat%C3%A8mesi&action=edit&redlink=1" rel="discussion" class="new" title="Discussió sobre el contingut d'aquesta pàgina (encara no existeix) [t]" accesskey="t"><span>Discussió</span></a></li> </ul> </div> </div> <div id="vector-variants-dropdown" class="vector-dropdown emptyPortlet" > <input type="checkbox" id="vector-variants-dropdown-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-variants-dropdown" class="vector-dropdown-checkbox " aria-label="Canvia la variant de llengua" > <label id="vector-variants-dropdown-label" for="vector-variants-dropdown-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet" aria-hidden="true" ><span class="vector-dropdown-label-text">català</span> </label> <div class="vector-dropdown-content"> <div id="p-variants" class="vector-menu mw-portlet mw-portlet-variants emptyPortlet" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> </ul> </div> </div> </div> </div> </nav> </div> <div id="right-navigation" class="vector-collapsible"> <nav aria-label="Vistes"> <div id="p-views" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-views" > <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-view" class="selected vector-tab-noicon mw-list-item"><a href="/wiki/Hemat%C3%A8mesi"><span>Mostra</span></a></li><li id="ca-edit" class="vector-tab-noicon mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit" title="Modifica el codi font d'aquesta pàgina [e]" accesskey="e"><span>Modifica</span></a></li><li id="ca-history" class="vector-tab-noicon mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&action=history" title="Versions antigues d'aquesta pàgina [h]" 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vector-page-tools-pinnable-header vector-pinnable-header-unpinned" data-feature-name="page-tools-pinned" data-pinnable-element-id="vector-page-tools" data-pinned-container-id="vector-page-tools-pinned-container" data-unpinned-container-id="vector-page-tools-unpinned-container" > <div class="vector-pinnable-header-label">Eines</div> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-page-tools.pin">mou a la barra lateral</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-page-tools.unpin">amaga</button> </div> <div id="p-cactions" class="vector-menu mw-portlet mw-portlet-cactions emptyPortlet vector-has-collapsible-items" title="Més opcions" > <div class="vector-menu-heading"> Accions </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="ca-more-view" class="selected vector-more-collapsible-item mw-list-item"><a href="/wiki/Hemat%C3%A8mesi"><span>Mostra</span></a></li><li id="ca-more-edit" class="vector-more-collapsible-item mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit" title="Modifica el codi font d'aquesta pàgina [e]" accesskey="e"><span>Modifica</span></a></li><li id="ca-more-history" class="vector-more-collapsible-item mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&action=history"><span>Mostra l'historial</span></a></li> </ul> </div> </div> <div id="p-tb" class="vector-menu mw-portlet mw-portlet-tb" > <div class="vector-menu-heading"> General </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="t-whatlinkshere" class="mw-list-item"><a href="/wiki/Especial:Enlla%C3%A7os/Hemat%C3%A8mesi" title="Una llista de totes les pàgines wiki que enllacen amb aquesta [j]" accesskey="j"><span>Què hi enllaça</span></a></li><li id="t-recentchangeslinked" class="mw-list-item"><a href="/wiki/Especial:Seguiment/Hemat%C3%A8mesi" rel="nofollow" title="Canvis recents a pàgines enllaçades des d'aquesta pàgina [k]" accesskey="k"><span>Canvis relacionats</span></a></li><li id="t-specialpages" class="mw-list-item"><a href="/wiki/Especial:P%C3%A0gines_especials" title="Llista totes les pàgines especials [q]" accesskey="q"><span>Pàgines especials</span></a></li><li id="t-permalink" class="mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&oldid=33396864" title="Enllaç permanent a aquesta revisió de la pàgina"><span>Enllaç permanent</span></a></li><li id="t-info" class="mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&action=info" title="Més informació sobre aquesta pàgina"><span>Informació de la pàgina</span></a></li><li id="t-cite" class="mw-list-item"><a href="/w/index.php?title=Especial:Citau&page=Hemat%C3%A8mesi&id=33396864&wpFormIdentifier=titleform" title="Informació sobre com citar aquesta pàgina"><span>Citau aquest article</span></a></li><li id="t-urlshortener" class="mw-list-item"><a href="/w/index.php?title=Especial:UrlShortener&url=https%3A%2F%2Fca.wikipedia.org%2Fwiki%2FHemat%25C3%25A8mesi"><span>Obtén una URL abreujada</span></a></li><li id="t-urlshortener-qrcode" class="mw-list-item"><a href="/w/index.php?title=Especial:QrCode&url=https%3A%2F%2Fca.wikipedia.org%2Fwiki%2FHemat%25C3%25A8mesi"><span>Descarrega el codi QR</span></a></li> </ul> </div> </div> <div id="p-coll-print_export" class="vector-menu mw-portlet mw-portlet-coll-print_export" > <div class="vector-menu-heading"> Imprimeix/exporta </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="coll-create_a_book" class="mw-list-item"><a href="/w/index.php?title=Especial:Llibre&bookcmd=book_creator&referer=Hemat%C3%A8mesi"><span>Crea un llibre</span></a></li><li id="coll-download-as-rl" class="mw-list-item"><a href="/w/index.php?title=Especial:DownloadAsPdf&page=Hemat%C3%A8mesi&action=show-download-screen"><span>Baixa com a PDF</span></a></li><li id="t-print" class="mw-list-item"><a href="/w/index.php?title=Hemat%C3%A8mesi&printable=yes" title="Versió per a impressió d'aquesta pàgina [p]" accesskey="p"><span>Versió per a impressora</span></a></li> </ul> </div> </div> <div id="p-wikibase-otherprojects" class="vector-menu mw-portlet mw-portlet-wikibase-otherprojects" > <div class="vector-menu-heading"> En altres projectes </div> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li id="t-wikibase" class="wb-otherproject-link wb-otherproject-wikibase-dataitem mw-list-item"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q1570161" title="Enllaç a l'element del repositori de dades connectat [g]" accesskey="g"><span>Element a Wikidata</span></a></li> </ul> </div> </div> </div> </div> </div> </div> </nav> </div> </div> </div> <div class="vector-column-end"> <div class="vector-sticky-pinned-container"> <nav class="vector-page-tools-landmark" aria-label="Eines de la pàgina"> <div id="vector-page-tools-pinned-container" class="vector-pinned-container"> </div> </nav> <nav class="vector-appearance-landmark" aria-label="Aparença"> <div id="vector-appearance-pinned-container" class="vector-pinned-container"> <div id="vector-appearance" class="vector-appearance vector-pinnable-element"> <div class="vector-pinnable-header vector-appearance-pinnable-header vector-pinnable-header-pinned" data-feature-name="appearance-pinned" data-pinnable-element-id="vector-appearance" data-pinned-container-id="vector-appearance-pinned-container" data-unpinned-container-id="vector-appearance-unpinned-container" > <div class="vector-pinnable-header-label">Aparença</div> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-pin-button" data-event-name="pinnable-header.vector-appearance.pin">mou a la barra lateral</button> <button class="vector-pinnable-header-toggle-button vector-pinnable-header-unpin-button" data-event-name="pinnable-header.vector-appearance.unpin">amaga</button> </div> </div> </div> </nav> </div> </div> <div id="bodyContent" class="vector-body" aria-labelledby="firstHeading" data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">De la Viquipèdia, l'enciclopèdia lliure</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="ca" dir="ltr"><table class="infobox" style="font-size:90%;width:25em"><caption style="font-weight:bold;background-color:#b0d1ad;background-color:#b0d1ad;valign=center; padding:1px;"><span style="float:left;margin:1.5px"><span typeof="mw:File"><a href="/wiki/Fitxer:Arrythmia_noun_246518_cc.svg" class="mw-file-description" title="Plantilla:Infotaula malaltia"><img alt="Plantilla:Infotaula malaltia" src="//upload.wikimedia.org/wikipedia/commons/thumb/3/35/Arrythmia_noun_246518_cc.svg/22px-Arrythmia_noun_246518_cc.svg.png" decoding="async" width="22" height="21" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/35/Arrythmia_noun_246518_cc.svg/33px-Arrythmia_noun_246518_cc.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/35/Arrythmia_noun_246518_cc.svg/44px-Arrythmia_noun_246518_cc.svg.png 2x" data-file-width="53" data-file-height="51" /></a></span></span>Hematèmesi</caption><tbody><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start">Tipus</th><td class="infobox-data" style="text-align:start"><a href="/wiki/V%C3%B2mit" title="Vòmit">vòmit</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P279" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Especialitat_m%C3%A8dica" title="Especialitat mèdica">Especialitat</a></th><td class="infobox-data" style="text-align:start"><a href="/wiki/Gastroenterologia" title="Gastroenterologia">gastroenterologia</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P1995" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th colspan="2" class="infobox-header" style="text-align:center;background-color:#b0d1ad;background-color:#b0d1ad;"><a href="/wiki/Patog%C3%A8nesi" title="Patogènesi">Patogènesi</a></th></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start">Causat per</th><td class="infobox-data" style="text-align:start"><a href="/wiki/Hemorr%C3%A0gia_digestiva_alta" title="Hemorràgia digestiva alta">hemorràgia digestiva alta</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P828" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th colspan="2" class="infobox-header" style="text-align:center;background-color:#b0d1ad;background-color:#b0d1ad;">Classificació</th></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/CIM-11" title="CIM-11">CIM-11</a></th><td class="infobox-data" style="text-align:start">ME24.A5 <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P7329" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/CIM-10" title="CIM-10">CIM-10</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="https://icd.who.int/browse10/2019/en#/K92.0">K92.0</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P494" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/CIM-9" title="CIM-9">CIM-9</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="http://www.saniwiki.cat/ICD/php-09/578.0.php">578.0</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P493" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Classificaci%C3%B3_Internacional_d%27Atenci%C3%B3_Prim%C3%A0ria" title="Classificació Internacional d'Atenció Primària">CIAP</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="https://www.hetop.eu/hetop/3CGP/en/?rr=CIP_D_D14">D14</a> <span class="penicon" data-bridge-edit-flow="single-best-value"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P667" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th colspan="2" class="infobox-header" style="text-align:center;background-color:#b0d1ad;background-color:#b0d1ad;">Recursos externs</th></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Enciclop%C3%A8dia_Catalana" class="mw-redirect" title="Enciclopèdia Catalana">Enciclopèdia Catalana</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="https://www.enciclopedia.cat/ec-gec-0113722.xml">0113722</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P1296" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Diseases_Database" title="Diseases Database">DiseasesDB</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="http://www.diseasesdatabase.com/ddb30745.htm">30745</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P557" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="http://www.nlm.nih.gov/medlineplus/ency/article/003118.htm">003118</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P604" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/EMedicine" title="EMedicine">eMedicine</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="http://emedicine.medscape.com/article/187857">187857</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P673" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="https://www.nlm.nih.gov/cgi/mesh/2024/MB_cgi?field=uid&term=D006396">D006396</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P486" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr><tr><th scope="row" class="infobox-label" style="text-align:left;padding-right:1.2em;background:#eeeeee; text-align:start"><a href="/wiki/Unified_Medical_Language_System" title="Unified Medical Language System">UMLS</a> <a href="/wiki/Concept_Unique_Identifier" title="Concept Unique Identifier">CUI</a></th><td class="infobox-data" style="text-align:start"><a rel="nofollow" class="external text" href="https://ncim-stage.nci.nih.gov/ncimbrowser/ConceptReport.jsp?dictionary=NCI%20Metathesaurus&code=C0018926">C0018926</a> <span class="penicon"><span class="mw-valign-baseline" typeof="mw:File"><a href="https://www.wikidata.org/wiki/Q1570161?uselang=ca#P2892" title="Modifica el valor a Wikidata"><img alt="Modifica el valor a Wikidata" src="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/10px-Arbcom_ru_editing.svg.png" decoding="async" width="10" height="10" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/15px-Arbcom_ru_editing.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/63/Arbcom_ru_editing.svg/20px-Arbcom_ru_editing.svg.png 2x" data-file-width="600" data-file-height="600" /></a></span></span></td></tr></tbody></table> <p>L'<b>hematèmesi</b>, en <a href="/wiki/Medicina" title="Medicina">medicina</a>, fa referència al <a href="/wiki/V%C3%B2mit" title="Vòmit">vòmit</a> amb <a href="/wiki/Sang" title="Sang">sang</a> procedent del <a href="/wiki/Tracte_gastrointestinal_superior" class="mw-redirect" title="Tracte gastrointestinal superior">tracte gastrointestinal superior</a> (el tros abans del <a href="/wiki/Lligament_de_Treitz" class="mw-redirect" title="Lligament de Treitz">lligament de Treitz</a>),<sup id="cite_ref-:0_1-0" class="reference"><a href="#cite_note-:0-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> per contra, l'<a href="/wiki/Hemorr%C3%A0gia_digestiva_baixa" title="Hemorràgia digestiva baixa">hemorràgia digestiva baixa</a> es localitza per sota d'aquest lligament i sol provocar <a href="/wiki/Melena" title="Melena">melenes</a> o <a href="/wiki/Rectorr%C3%A0gia" class="mw-redirect" title="Rectorràgia">rectorràgies</a>.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> L'hematèmesi i la melena són dues de les formes de presentació de l'<a href="/wiki/Hemorr%C3%A0gia_digestiva_alta" title="Hemorràgia digestiva alta">hemorràgia digestiva alta</a>. El dèbit pot ser de <a href="/wiki/Sang" title="Sang">sang</a> fresca o bé més fosca, anomenada <a href="/wiki/V%C3%B2mit_en_p%C3%B2sit_de_caf%C3%A8" title="Vòmit en pòsit de cafè">en <i>pòsit de cafè</i></a>. Al vòmit també hi poden haver restes alimentàries.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Etiologia">Etiologia</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=1" title="Modifica la secció: Etiologia"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>L'hematèmesi pot desencadenar-se quan es produeix algun sagnat a l'<a href="/wiki/Es%C3%B2fag" title="Esòfag">esòfag</a>, l'<a href="/wiki/Est%C3%B3mac" title="Estómac">estómac</a> o el <a href="/wiki/Duod%C3%A8" title="Duodè">duodè</a>.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> </p><p>Algunes d'aquestes causes són: <a href="/wiki/Epistaxi" title="Epistaxi">epistaxi</a> (hemorràgia nasal, provocant una <i>falsa</i> hematèmesi), <a href="/wiki/Varius_esof%C3%A0giques" title="Varius esofàgiques">varius esofàgiques</a> (degudes a una <a href="/wiki/Hipertensi%C3%B3_portal" title="Hipertensió portal">hipertensió portal</a>), <a href="/wiki/%C3%9Alcera_p%C3%A8ptica" title="Úlcera pèptica">úlcera pèptica</a>, <a href="/wiki/C%C3%A0ncer_d%27es%C3%B2fag" title="Càncer d'esòfag">càncer d'esòfag</a>, <a href="/wiki/C%C3%A0ncer_d%27est%C3%B3mac" title="Càncer d'estómac">càncer d'estómac</a>, <a href="/w/index.php?title=Trastorn_de_coagulaci%C3%B3&action=edit&redlink=1" class="new" title="Trastorn de coagulació (encara no existeix)">trastorns de coagulació</a>, la <a href="/wiki/S%C3%ADndrome_de_Mallory-Weiss" title="Síndrome de Mallory-Weiss">síndrome de Mallory-Weiss</a> (sagnat d'una lesió al <a href="/wiki/C%C3%A0rdies" class="mw-redirect" title="Càrdies">càrdies</a> provocada pel vòmit), <a href="/wiki/Gastritis" title="Gastritis">gastritis</a> (sovint en relació a la presa d'<a href="/wiki/Antiinflamatori" title="Antiinflamatori">antiinflamatoris</a>).<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup> </p><p>Les úlceres són una de les causes més freqüents amb un 35%-50% dels casos. La diverticulitis es representa com a causa amb un 17%-40% aproximadament.<sup id="cite_ref-:0_1-1" class="reference"><a href="#cite_note-:0-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Signes_i_símptomes"><span id="Signes_i_s.C3.ADmptomes"></span>Signes i símptomes</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=2" title="Modifica la secció: Signes i símptomes"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/Fitxer:Digestive_system_diagram_ca.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/2/26/Digestive_system_diagram_ca.svg/220px-Digestive_system_diagram_ca.svg.png" decoding="async" width="220" height="318" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/2/26/Digestive_system_diagram_ca.svg/330px-Digestive_system_diagram_ca.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/2/26/Digestive_system_diagram_ca.svg/440px-Digestive_system_diagram_ca.svg.png 2x" data-file-width="561" data-file-height="811" /></a><figcaption>Aparell digestiu on es pot observar l'esòfag, estómac i intestins</figcaption></figure> <p>La clínica (signes i símptomes) dependrà de: </p> <ol><li>La gravetat del sagnat, que si és important pot dur a un <a href="/wiki/Xoc_hipovol%C3%A8mic" title="Xoc hipovolèmic">xoc hipovolèmic</a> i la mort.</li> <li>La causa del sagnat. Així amb una <a href="/wiki/%C3%9Alcera_p%C3%A8ptica" title="Úlcera pèptica">úlcera pèptica</a> tindrà associats símptomes com <a href="/wiki/Epigastr%C3%A0lgia" class="mw-redirect" title="Epigastràlgia">epigastràlgia</a> o <a href="/wiki/Pirosi" title="Pirosi">pirosi</a>.</li></ol> <div class="mw-heading mw-heading2"><h2 id="Diagnòstic"><span id="Diagn.C3.B2stic"></span>Diagnòstic</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=3" title="Modifica la secció: Diagnòstic"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Quan una persona presenta vòmits amb sang cal anar a l'hospital per fer una ràpida avaluació i exploració. La pèrdua de sang pot comportar a situacions mèdiques urgents. Per arribar al diagnòstic cal fer una bona <a href="/wiki/Anamnesi_(medicina)" title="Anamnesi (medicina)">anamnesi</a>, <a href="/wiki/Exploraci%C3%B3_f%C3%ADsica" title="Exploració física">exploració física</a> i proves complementàries. </p><p>Primerament, cal valorar la gravetat de l'<a href="/wiki/Hemorr%C3%A0gia" title="Hemorràgia">hemorràgia</a>, amb la presa de la <a href="/wiki/Tensi%C3%B3_arterial" class="mw-redirect" title="Tensió arterial">tensió arterial</a>, la <a href="/wiki/Freq%C3%BC%C3%A8ncia_card%C3%ADaca" title="Freqüència cardíaca">freqüència cardíaca</a> i unes anàlisis de sang per valorar nivells d'<a href="/wiki/Hemat%C3%B2crit" title="Hematòcrit">hematòcrit</a>, <a href="/wiki/Hemoglobina" title="Hemoglobina">hemoglobina</a> i altres paràmetres essencials. L'anamnesi podrà orientar sobre la possible causa. </p><p>Per intentar diagnosticar la causa sovint caldrà fer una <a href="/wiki/Endosc%C3%B2pia" title="Endoscòpia">endoscòpia</a> (una <a href="/wiki/Esofagogastroduodenosc%C3%B2pia" title="Esofagogastroduodenoscòpia">esofagogastroduodenoscòpia</a>, completa o no), entre altres. </p> <div class="mw-heading mw-heading2"><h2 id="Tractament">Tractament</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=4" title="Modifica la secció: Tractament"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>L'objectiu principal del tractament de l'hematèmesi és acabar amb el sagnat i evitar el deteriorament que dugui al xoc hipovolèmic. Així doncs, cal tractar la situació d'urgència. Caldrà tranquil·litzar la persona i informar-lo, se li prohibirà la ingesta. Si el pacient arriba en estat greu caldrà estabilitzar-lo abans de tractar la causa adjacent. </p><p>Es col·locarà una <a href="/wiki/Via_endovenosa" class="mw-redirect" title="Via endovenosa">via endovenosa</a> per la qual s'administrarà, en funció de la gravetat de l'hemorràgia: <a href="/w/index.php?title=S%C3%A8rum_sal%C3%AD&action=edit&redlink=1" class="new" title="Sèrum salí (encara no existeix)">sèrum salí</a> o <a href="/w/index.php?title=S%C3%A8rum_glucosal%C3%AD&action=edit&redlink=1" class="new" title="Sèrum glucosalí (encara no existeix)">sèrum glucosalí</a>, i una <a href="/wiki/Transfusi%C3%B3_sangu%C3%ADnia" class="mw-redirect" title="Transfusió sanguínia">transfusió sanguínia</a>; per així mantenir la <a href="/wiki/Tensi%C3%B3_arterial" class="mw-redirect" title="Tensió arterial">tensió arterial</a> a paràmetres normals. Es prescriuen <a href="/wiki/Anti%C3%A0cid" title="Antiàcid">antiàcids</a> i poden ser necessaris <a href="/wiki/Anticoagulants" class="mw-redirect" title="Anticoagulants">anticoagulants</a>.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> </p><p>Si amb l'endoscòpia es detecta un sagnat actiu es procurarà de realitzar l'<a href="/wiki/Hemost%C3%A0sia" title="Hemostàsia">hemostàsia</a> (lligant el vas que sagna). </p> <div class="mw-heading mw-heading2"><h2 id="Referències"><span id="Refer.C3.A8ncies"></span>Referències</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=5" title="Modifica la secció: Referències"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="reflist {{#if: | references-column-count references-column-count-{{{col}}}" style="list-style-type: decimal;"> <div class="mw-references-wrap"><ol class="references"> <li id="cite_note-:0-1"><span class="mw-cite-backlink">↑ <sup><a href="#cite_ref-:0_1-0">1,0</a></sup> <sup><a href="#cite_ref-:0_1-1">1,1</a></sup></span> <span class="reference-text"><span class="citation" style="font-style:normal">Error: hi ha <i><b>títol</b></i> o <i><b>url</b></i>, però calen tots dos paràmetres.«[{{{url}}} Hemorràgia digestiva aguda]». [Consulta: 6 agost 2015].</span></span> </li> <li id="cite_note-2"><span class="mw-cite-backlink"><a href="#cite_ref-2">↑</a></span> <span class="reference-text"><span class="citation" style="font-style:normal">«<a rel="nofollow" class="external text" href="http://www.diccionari.cat/lexicx.jsp?GECART=0072719">Hematèmesi</a>».  Gran Diccionari de la Llengua Catalana. [Consulta: 6 agost 2015].</span></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><a href="#cite_ref-3">↑</a></span> <span class="reference-text"><span class="citation" style="font-style:normal">«<a rel="nofollow" class="external text" href="http://www.nlm.nih.gov/medlineplus/ency/article/003118.htm">Vomiting blood</a>» (en anglès).  MedlinePlus, 01-01-2013. [Consulta: 6 juliol 2015].</span></span> </li> <li id="cite_note-4"><span class="mw-cite-backlink"><a href="#cite_ref-4">↑</a></span> <span class="reference-text"><span class="citation" style="font-style:normal">«<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160115021408/http://hematemesis.org/causas/">Causas de la hematemesis</a>» (en castellà).  hematemesis.org. Arxivat de l'<a rel="nofollow" class="external text" href="http://hematemesis.org/causas/">original</a> el 2016-01-15. [Consulta: 6 agost 2015].</span></span> </li> <li id="cite_note-5"><span class="mw-cite-backlink"><a href="#cite_ref-5">↑</a></span> <span class="reference-text"><span class="citation" style="font-style:normal">«<a rel="nofollow" class="external text" href="http://umm.edu/health/medical/ency/articles/vomiting-blood">Vomiting Blood</a>» (en anglès).  University of Maryland-Medical Center. [Consulta: 6 agost 2015].</span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><a href="#cite_ref-6">↑</a></span> <span class="reference-text"><span class="citation" style="font-style:normal">«<a rel="nofollow" class="external text" href="https://web.archive.org/web/20160303211822/http://www.bellvitgehospital.cat/professionals/protocols/hemoptisi.pdf">Tractament</a>».  Hospital Bellvitge. Arxivat de l'<a rel="nofollow" class="external text" href="http://www.bellvitgehospital.cat/professionals/protocols/hemoptisi.pdf">original</a> el 2016-03-03. [Consulta: 6 agost 2015].</span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="Vegeu_també"><span id="Vegeu_tamb.C3.A9"></span>Vegeu també</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Hemat%C3%A8mesi&action=edit&section=6" title="Modifica la secció: Vegeu també"><span>modifica</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/V%C3%B2mit_en_p%C3%B2sit_de_caf%C3%A8" title="Vòmit en pòsit de cafè">Vòmit en pòsit de cafè</a></li> <li><a href="/wiki/Melena" title="Melena">Melenes</a></li> <li><a href="/wiki/Hemoptisi" title="Hemoptisi">Hemoptisi</a></li></ul> <div role="navigation" class="navbox" aria-label="Navbox" style="padding:3px"><table class="nowraplinks hlist navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Control_d%27autoritats" title="Control d'autoritats">Registres d'autoritat</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/wiki/Biblioth%C3%A8que_nationale_de_France" class="mw-redirect" title="Bibliothèque nationale de France">BNF</a> <span class="uid"> (<a rel="nofollow" class="external text" href="http://catalogue.bnf.fr/ark:/12148/cb16566589h">1</a>)</span></li> <li><a href="/wiki/LCCN" class="mw-redirect" title="LCCN">LCCN</a> <span class="uid"> (<a rel="nofollow" class="external text" href="https://id.loc.gov/authorities/subjects/sh85060121">1</a>)</span></li> <li><a href="/wiki/National_Diet_Library" class="mw-redirect" title="National Diet Library">NDL</a> <span class="uid"> (<a rel="nofollow" class="external text" href="http://id.ndl.go.jp/auth/ndlna/00573184">1</a>)</span></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Bases d'informació</th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/wiki/GEC" class="mw-redirect" title="GEC">GEC</a> <span class="uid"> (<a rel="nofollow" class="external text" href="https://www.enciclopedia.cat/gran-enciclopedia-catalana/hematemesi">1</a>)</span></li></ul> </div></td></tr></tbody></table></div>    </div><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1&useformat=desktop" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Obtingut de «<a dir="ltr" href="https://ca.wikipedia.org/w/index.php?title=Hematèmesi&oldid=33396864">https://ca.wikipedia.org/w/index.php?title=Hematèmesi&oldid=33396864</a>»</div></div> <div id="catlinks" class="catlinks" data-mw="interface"><div id="mw-normal-catlinks" class="mw-normal-catlinks"><a href="/wiki/Especial:Categorias" title="Especial:Categorias">Categories</a>: <ul><li><a href="/wiki/Categoria:Signes_i_s%C3%ADmptomes_de_l%27aparell_digestiu" title="Categoria:Signes i símptomes de l'aparell digestiu">Signes i símptomes de l'aparell digestiu</a></li><li><a href="/wiki/Categoria:Urg%C3%A8ncies_m%C3%A8diques" title="Categoria:Urgències mèdiques">Urgències mèdiques</a></li></ul></div><div id="mw-hidden-catlinks" class="mw-hidden-catlinks mw-hidden-cats-hidden">Categoria oculta: <ul><li><a href="/wiki/Categoria:Control_d%27autoritats" title="Categoria:Control d'autoritats">Control d'autoritats</a></li></ul></div></div> </div> </main> </div> <div class="mw-footer-container"> <footer id="footer" class="mw-footer" > <ul id="footer-info"> <li id="footer-info-lastmod"> La pàgina va ser modificada per darrera vegada el 19 abr 2024 a les 12:46.</li> <li id="footer-info-copyright">El text està disponible sota la <a href="/wiki/Viquip%C3%A8dia:Text_de_la_llic%C3%A8ncia_de_Creative_Commons_Reconeixement-Compartir_Igual_4.0_No_adaptada" title="Viquipèdia:Text de la llicència de Creative Commons Reconeixement-Compartir Igual 4.0 No adaptada"> Llicència de Creative Commons Reconeixement i Compartir-Igual</a>; es poden aplicar termes addicionals. 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