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雷尼替丁在急性上消化道出血中的药代动力学。

Pharmacokinetics of ranitidine in acute upper gastrointestinal haemorrhage.

作者信息

Varoquaux O, Trawale J M, Doll J, Andrieu J, Grosbuis S, Pays M, Advenier C

出版信息

Br J Clin Pharmacol. 1985 Dec;20(6):699-702. doi: 10.1111/j.1365-2125.1985.tb05133.x.

DOI:10.1111/j.1365-2125.1985.tb05133.x
PMID:3879183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1400845/
Abstract

A pharmacokinetic study of ranitidine was performed in 14 patients with haematemesis divided into two groups according to the severity of blood loss. Pharmacokinetic values were calculated from plasma concentrations after the first of three daily injections (100 mg) and compared with those obtained in five healthy volunteers (50 mg i.v.). There were no significant differences between patients in the two haemorrhage groups and controls. The low, or even questionable, effectiveness of histamine H2-receptor antagonists in the treatment of upper gastrointestinal haemorrhage does not seem to be due to pharmacokinetic factors.

摘要

对14例呕血患者进行了雷尼替丁的药代动力学研究,根据失血量的严重程度将患者分为两组。药代动力学值是在每日三次注射(100毫克)中的首次注射后,根据血浆浓度计算得出的,并与5名健康志愿者静脉注射50毫克后获得的值进行比较。两个出血组的患者与对照组之间没有显著差异。组胺H2受体拮抗剂在上消化道出血治疗中疗效低甚至存疑,这似乎并非由药代动力学因素所致。

相似文献

1
Pharmacokinetics of ranitidine in acute upper gastrointestinal haemorrhage.雷尼替丁在急性上消化道出血中的药代动力学。
Br J Clin Pharmacol. 1985 Dec;20(6):699-702. doi: 10.1111/j.1365-2125.1985.tb05133.x.
2
Oral and intravenous pharmacokinetics of ranitidine in patients with liver cirrhosis.雷尼替丁在肝硬化患者中的口服及静脉药代动力学
Int J Clin Pharmacol Ther Toxicol. 1984 Jun;22(6):329-32.
3
Ranitidine in the treatment of acute upper gastrointestinal haemorrhage--a comparative study. Preliminary report.
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4
Pharmacokinetics of ranitidine after intravenous administration in hemodialysis patients.
Pharmacology. 1985;31(4):189-93. doi: 10.1159/000138114.
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The pharmacokinetics of H2 receptor blocking agents in compensated liver cirrhosis.H2受体阻断剂在代偿期肝硬化患者中的药代动力学
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Ranitidine in acute upper gastrointestinal haemorrhage.
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Effects of gender and phase of the menstrual cycle on the kinetics of ranitidine in healthy volunteers.性别和月经周期阶段对健康志愿者中雷尼替丁动力学的影响。
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Ranitidine in the control of acute upper gastro-intestinal haemorrhage. A prospective randomized trial.雷尼替丁控制急性上消化道出血。一项前瞻性随机试验。
S Afr Med J. 1984 Jun 23;65(25):1005-6.
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Lack of clinically significant in vitro and in vivo interactions between ranitidine and sucralfate.雷尼替丁与硫糖铝之间在体外和体内均不存在具有临床意义的相互作用。
J Pharm Sci. 1986 Oct;75(10):995-8. doi: 10.1002/jps.2600751018.
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Omeprazole versus histamine H2 receptor antagonists in the treatment of acute upper non-variceal bleeding.奥美拉唑与组胺H2受体拮抗剂治疗急性上消化道非静脉曲张性出血的对比研究
Hepatogastroenterology. 1996 Jul-Aug;43(10):863-5.

本文引用的文献

1
Cimetidine and tranexamic acid in the treatment of acute upper-gastrointestinal-tract bleeding.西咪替丁与氨甲环酸治疗急性上消化道出血
N Engl J Med. 1983 Jun 30;308(26):1571-5. doi: 10.1056/NEJM198306303082606.
2
Clinical pharmacokinetics of ranitidine.雷尼替丁的临床药代动力学。
Clin Pharmacokinet. 1984 May-Jun;9(3):211-21. doi: 10.2165/00003088-198409030-00003.
3
Effects of ranitidine and of cimetidine on pentagastrin-stimulated gastric acid secretion.雷尼替丁和西咪替丁对五肽胃泌素刺激的胃酸分泌的影响。
Clin Pharmacol Ther. 1984 Feb;35(2):203-7. doi: 10.1038/clpt.1984.27.
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Ranitidine in acute upper gastrointestinal haemorrhage.雷尼替丁治疗急性上消化道出血
Br Med J (Clin Res Ed). 1982 Aug 14;285(6340):476-7. doi: 10.1136/bmj.285.6340.476.
5
Ranitidine kinetics and dynamics. I. Oral dose studies.雷尼替丁的动力学与动态学。I. 口服剂量研究。
Clin Pharmacol Ther. 1981 Oct;30(4):539-44. doi: 10.1038/clpt.1981.200.
6
Somatostatin and ranitidine in the control of iatrogenic haemorrhage of the upper gastrointestinal tract.生长抑素和雷尼替丁用于控制上消化道医源性出血
Br Med J (Clin Res Ed). 1984 Jul 28;289(6439):224. doi: 10.1136/bmj.289.6439.224.
7
Pharmacokinetics of the H2- receptor antagonist ranitidine in man.H2受体拮抗剂雷尼替丁在人体中的药代动力学。
Br J Clin Pharmacol. 1981 Sep;12(3):411-5. doi: 10.1111/j.1365-2125.1981.tb01236.x.
8
Ranitidine versus cimetidine in the management of acute upper gastrointestinal tract bleeding.
J Clin Gastroenterol. 1984 Aug;6(4):295-9.
9
Pharmacokinetics of drug disposition: hemodynamic considerations.药物处置的药代动力学:血液动力学考量
Annu Rev Pharmacol. 1975;15:11-27. doi: 10.1146/annurev.pa.15.040175.000303.