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氨甲环酸在呼吸介入并发出血中的应用。

The application of tranexamic acid in respiratory intervention complicated with bleeding.

机构信息

Department of Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, Jinhua, Zhejiang, China.

Department of Pulmonary and Critical Care Medicine, Jinhua Municipal Central Hospital, No. 365, East Renmin Road, Jinhua, Zhejiang 321000, China.

出版信息

Ther Adv Respir Dis. 2024 Jan-Dec;18:17534666241281669. doi: 10.1177/17534666241281669.

DOI:10.1177/17534666241281669
PMID:39301736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11526222/
Abstract

Tranexamic acid (TA) is a well-established antifibrinolytic agent utilized across various medical scenarios to manage bleeding, including surgical, traumatic, postpartum, and upper gastrointestinal bleeding. Despite its widespread application, the systematic evaluation of TA's efficacy in achieving hemostasis during interventional pulmonary procedures remains limited. This review aims to address this gap by examining the utility and effectiveness of TA in promoting hemostasis during pulmonary interventions, encompassing procedures such as bronchial artery embolization, percutaneous lung biopsy, bronchoscopy, and pleural procedures. By synthesizing existing evidence, this review seeks to provide valuable insights into the potential role of TA in mitigating hemorrhage following interventional pulmonary procedures, thereby informing clinical practice and guiding future research endeavors.

摘要

氨甲环酸(TA)是一种已被广泛认可的抗纤维蛋白溶解剂,在多种医疗场景中被用于控制出血,包括手术、创伤、产后和上消化道出血。尽管 TA 被广泛应用,但系统评估其在介入性肺程序中实现止血效果的研究仍有限。本综述旨在通过研究 TA 在支气管动脉栓塞、经皮肺活检、支气管镜检查和胸膜程序等肺介入过程中促进止血的效用和有效性来填补这一空白。通过综合现有证据,本综述旨在为 TA 在减轻介入性肺程序后出血方面的潜在作用提供有价值的见解,从而为临床实践提供信息并指导未来的研究工作。

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引用本文的文献

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Efficacy and Safety of Tranexamic Acid in the Management of Gastrointestinal Bleeding: A Systematic Review.氨甲环酸治疗胃肠道出血的疗效与安全性:一项系统评价
Cureus. 2024 Dec 20;16(12):e76086. doi: 10.7759/cureus.76086. eCollection 2024 Dec.

本文引用的文献

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Safety assessment of tranexamic acid: real-world adverse event analysis from the FAERS database.氨甲环酸的安全性评估:来自FAERS数据库的真实世界不良事件分析
Front Pharmacol. 2024 May 28;15:1388138. doi: 10.3389/fphar.2024.1388138. eCollection 2024.
2
Nebulized vs IV Tranexamic Acid for Hemoptysis: A Pilot Randomized Controlled Trial.雾化 vs 静脉注射氨甲环酸治疗咯血:一项初步的随机对照试验。
Chest. 2023 May;163(5):1176-1184. doi: 10.1016/j.chest.2022.11.021. Epub 2022 Nov 19.
3
Treatment of Massive Hemoptysis with Repeated Doses of Nebulized Tranexamic Acid.重复剂量雾化氨甲环酸治疗大量咯血
Cureus. 2022 Sep 26;14(9):e29625. doi: 10.7759/cureus.29625. eCollection 2022 Sep.
4
Tranexamic Acid vs Adrenaline for Controlling Iatrogenic Bleeding During Flexible Bronchoscopy: A Double-Blind Randomized Controlled Trial.氨甲环酸与肾上腺素用于控制可弯曲支气管镜检查期间医源性出血的比较:一项双盲随机对照试验
Chest. 2023 Apr;163(4):985-993. doi: 10.1016/j.chest.2022.10.013. Epub 2022 Oct 21.
5
One case report and literature review of arrhythmia caused by pituitrin.垂体后叶素引起心律失常 1 例报告并文献复习
Ann Noninvasive Electrocardiol. 2023 Mar;28(2):e13009. doi: 10.1111/anec.13009. Epub 2022 Oct 1.
6
Biopsy-tract haemocoagulase injection reduces major complications after CT-guided percutaneous transthoracic lung biopsy.经皮 CT 引导下肺穿刺活检术应用活检道凝血酶注射减少主要并发症。
Clin Radiol. 2022 Sep;77(9):e673-e679. doi: 10.1016/j.crad.2022.05.019. Epub 2022 Jul 2.
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Does Tranexamic Acid Reduce the Blood Loss in Various Surgeries? An Umbrella Review of State-of-the-Art Meta-Analysis.氨甲环酸能否减少各类手术中的失血?一项最新荟萃分析的伞形综述
Front Pharmacol. 2022 May 19;13:887386. doi: 10.3389/fphar.2022.887386. eCollection 2022.
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Bronchial artery embolization for hemoptysis: A systematic review and meta-analysis.咯血的支气管动脉栓塞术:一项系统评价与荟萃分析。
J Interv Med. 2021 Aug 13;4(4):172-180. doi: 10.1016/j.jimed.2021.08.003. eCollection 2021 Nov.
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Effect of tranexamic acid on thrombotic events and seizures in bleeding patients: a systematic review and meta-analysis.氨甲环酸对出血患者血栓事件和癫痫发作的影响:系统评价和荟萃分析。
Crit Care. 2021 Nov 1;25(1):380. doi: 10.1186/s13054-021-03799-9.
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Tranexamic acid for gastrointestinal bleeding: A systematic review with meta-analysis of randomized clinical trials.氨甲环酸治疗胃肠道出血:一项随机临床试验的系统评价和荟萃分析。
Am J Emerg Med. 2021 Jul;45:269-279. doi: 10.1016/j.ajem.2020.08.062. Epub 2020 Aug 29.