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急性胃肠道出血情况下抗血栓药物的管理

Managing Antithrombotic Agents in the Setting of Acute Gastrointestinal Bleeding.

作者信息

Kyaw Moe H, Chan Francis K L

机构信息

Department of Medicine & Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, 30-32 Ngan Shing Street, Shatin, Hong Kong.

Department of Medicine & Therapeutics, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong.

出版信息

Gastrointest Endosc Clin N Am. 2018 Jul;28(3):351-361. doi: 10.1016/j.giec.2018.02.007.

DOI:10.1016/j.giec.2018.02.007
PMID:29933780
Abstract

The incidence of antithrombotic-associated gastrointestinal (GI) bleeding is increasing due to the growing advanced age population. There is consensus on ceasing anticoagulant and antiplatelet agents during an acute GI bleeding episode but clearer guidance is needed on resumption of these agents. This article reviews evidence for optimal management of antithrombotics in the setting of acute GI bleeding and highlights areas in which future studies are needed.

摘要

由于老年人口的不断增加,抗血栓治疗相关的胃肠道(GI)出血的发生率正在上升。在急性胃肠道出血发作期间停用抗凝剂和抗血小板药物已达成共识,但在这些药物的重新使用方面需要更明确的指导。本文回顾了急性胃肠道出血情况下抗血栓药物最佳管理的证据,并强调了未来需要研究的领域。

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2
Time of Resumption of Antiplatelet Drugs After Upper Gastrointestinal Hemorrhage.上消化道出血后抗血小板药物的恢复时间。
Med Sci Monit. 2022 Jul 23;28:e936953. doi: 10.12659/MSM.936953.
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[Mortality Risk Factors for Inpatients with Ischemic Heart Disease Complicated with Gastrointestinal Bleeding].
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Sichuan Da Xue Xue Bao Yi Xue Ban. 2021 Nov;52(6):1034-1040. doi: 10.12182/20211160108.
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Interventional Algorithm in Gastrointestinal Bleeding-An Expert Consensus Multimodal Approach Based on a Multidisciplinary Team.介入性算法在胃肠道出血中的应用——基于多学科团队的专家共识多模态方法。
Clin Appl Thromb Hemost. 2020 Jan-Dec;26:1076029620931943. doi: 10.1177/1076029620931943.