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对羟乙基淀粉溶液使用的担忧。

Concerns over use of hydroxyethyl starch solutions.

作者信息

Hartog Christiane S, Natanson Charles, Sun Junfeng, Klein Harvey G, Reinhart Konrad

机构信息

Department of Anaesthesiology and Intensive Care Medicine, Centre for Sepsis Care and Control, Jena University Hospital, D-07747 Jena, Germany.

Critical Care Medicine Department, National Institutes of Health, Bethesda, MD 20892, USA.

出版信息

BMJ. 2014 Nov 10;349:g5981. doi: 10.1136/bmj.g5981.

DOI:10.1136/bmj.g5981
PMID:25385352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4707718/
Abstract

Large trials have shown that hydroxyethyl starch increases the risk of death, kidney injury, and bleeding. However, an EMA review last year permitted continued use in some patients, overturning an earlier decision to withdraw the product completely. discuss the evidence and call on doctors to avoid using starch formulations

摘要

大型试验表明,羟乙基淀粉会增加死亡、肾损伤和出血风险。然而,欧洲药品管理局(EMA)去年的一项审查允许在某些患者中继续使用,推翻了此前完全撤市该产品的决定。讨论了相关证据,并呼吁医生避免使用淀粉制剂

相似文献

1
Concerns over use of hydroxyethyl starch solutions.对羟乙基淀粉溶液使用的担忧。
BMJ. 2014 Nov 10;349:g5981. doi: 10.1136/bmj.g5981.
2
Volume therapy with hydroxyethyl starches: are we throwing the anesthesia baby out with the intensive care unit bathwater?羟乙基淀粉的容量治疗:我们是否在把麻醉这一关键要素与重症监护室的无用之物一起抛弃?
Anesth Analg. 2014 Sep;119(3):737-739. doi: 10.1213/ANE.0000000000000221.
3
Hydroxyethyl starch: here today, gone tomorrow.羟乙基淀粉:今日尚在,明日即逝。
Br J Anaesth. 2013 Sep;111(3):321-4. doi: 10.1093/bja/aet294.
4
Hydroxyethyl starches: a tale of two contexts: the problem of knowledge.羟乙基淀粉:两种背景下的故事:知识问题。
Anesth Analg. 2014 Sep;119(3):509-513. doi: 10.1213/ANE.0000000000000323.
5
Hydroxyethyl-starch use and PBM: a necessary update to the Italian national guidelines.羟乙基淀粉的使用与患者血液管理:意大利国家指南的必要更新。
Blood Transfus. 2016 May;14(2):195-6. doi: 10.2450/2016.0061-16. Epub 2016 Mar 5.
6
Tetrastarch solutions: are they definitely dead?羟乙基淀粉溶液:它们肯定不行了吗?
Br J Anaesth. 2013 Sep;111(3):324-7. doi: 10.1093/bja/aet300.
7
Bring rapidly degradable hydroxyethyl starch to the United States.将快速降解的羟乙基淀粉引入美国。
Anesthesiology. 2006 May;104(5):1105-6; author reply 1106. doi: 10.1097/00000542-200605000-00032.
8
Is the literature inconclusive about the harm from HES? No.关于羟乙基淀粉的危害,文献尚无定论吗?并非如此。
Intensive Care Med. 2017 Oct;43(10):1523-1525. doi: 10.1007/s00134-016-4275-x. Epub 2016 Mar 23.
9
NHS should ban use of starch based intravenous fluids, say researchers.研究人员称,英国国民医疗服务体系(NHS)应禁止使用淀粉基静脉输液。
BMJ. 2013 Feb 27;346:f1323. doi: 10.1136/bmj.f1323.
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Trauma experts urge cautious use of i.v. fluids.
Am J Health Syst Pharm. 2012 Nov 1;69(21):1846, 1848. doi: 10.2146/news120073.

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Human red blood cell behaviour in hydroxyethyl starch: probed by single cell spectroscopy.羟乙基淀粉中人类红细胞行为:通过单细胞光谱法进行探究
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Front Med (Lausanne). 2021 Dec 24;8:751793. doi: 10.3389/fmed.2021.751793. eCollection 2021.
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C-reactive Protein/Albumin Ratio and Acute Kidney Injury after Radical Cystectomy among Elderly Patients: A Propensity Score-Matched Analysis.C 反应蛋白/白蛋白比值与老年患者根治性膀胱切除术后急性肾损伤的关系:倾向评分匹配分析。
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Albumin Administration is Efficacious in the Management of Patients with Cirrhosis: A Systematic Review of the Literature.白蛋白给药对肝硬化患者的治疗有效:文献系统评价
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Am J Surg. 2020 Sep;220(3):580-588. doi: 10.1016/j.amjsurg.2020.05.008. Epub 2020 May 11.
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本文引用的文献

1
Mortality in patients with hypovolemic shock treated with colloids or crystalloids.
JAMA. 2014 Mar 12;311(10):1068-9. doi: 10.1001/jama.2014.836.
2
Reporting bias in trials of volume resuscitation with hydroxyethyl starch.羟乙基淀粉容量复苏试验中的报告偏倚。
Wien Klin Wochenschr. 2014 Apr;126(7-8):189-94. doi: 10.1007/s00508-014-0503-y. Epub 2014 Mar 5.
3
Open letter to the Executive Director of the European Medicines Agency concerning the licensing of hydroxyethyl starch solutions for fluid resuscitation.致欧洲药品管理局执行主任的公开信:关于羟乙基淀粉溶液用于液体复苏的许可问题
Br J Anaesth. 2014 Mar;112(3):595-600. doi: 10.1093/bja/aeu025.
4
Effects of fluid resuscitation with colloids vs crystalloids on mortality in critically ill patients presenting with hypovolemic shock: the CRISTAL randomized trial.胶体溶液与晶体溶液复苏对低血容量性休克危重症患者死亡率的影响:CRISTAL 随机试验。
JAMA. 2013 Nov 6;310(17):1809-17. doi: 10.1001/jama.2013.280502.
5
Hydroxyethyl starch (HES) versus other fluid therapies: effects on kidney function.羟乙基淀粉(HES)与其他液体疗法:对肾功能的影响。
Cochrane Database Syst Rev. 2013 Jul 23;2013(7):CD007594. doi: 10.1002/14651858.CD007594.pub3.
6
Safety of modern starches used during surgery: misleading conclusions.手术中使用的现代淀粉类制品的安全性:误导性结论。
Anesth Analg. 2013 Aug;117(2):527-8. doi: 10.1213/ANE.0b013e318296913f.
7
Boldt: the great pretender.博尔特:伟大的伪装者。
BMJ. 2013 Mar 19;346:f1738. doi: 10.1136/bmj.f1738.
8
Colloids versus crystalloids for fluid resuscitation in critically ill patients.胶体液与晶体液用于危重症患者液体复苏的比较
Cochrane Database Syst Rev. 2013 Feb 28(2):CD000567. doi: 10.1002/14651858.CD000567.pub6.
9
Association of hydroxyethyl starch administration with mortality and acute kidney injury in critically ill patients requiring volume resuscitation: a systematic review and meta-analysis.羟乙基淀粉给药与需要容量复苏的危重症患者死亡率和急性肾损伤的关系:系统评价和荟萃分析。
JAMA. 2013 Feb 20;309(7):678-88. doi: 10.1001/jama.2013.430.
10
Hydroxyethyl starch or saline for fluid resuscitation in intensive care.羟乙基淀粉或生理盐水用于重症监护中的液体复苏。
N Engl J Med. 2012 Nov 15;367(20):1901-11. doi: 10.1056/NEJMoa1209759. Epub 2012 Oct 17.