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西咪替丁和促胰液素对胃十二指肠溃疡及糜烂急性出血的作用:一项前瞻性研究(作者译)

[Effect of cimetidine and secretin on acute bleedings from gastroduodenal ulcers and erosions: a prospective study (author's transl)].

作者信息

Rothmund M, Wagner P K

出版信息

Dtsch Med Wochenschr. 1982 Feb 19;107(7):245-8. doi: 10.1055/s-2008-1069909.

Abstract

In a prospective, alternating study 33 patients with ulcer or stress lesions were treated for active nonarterial bleeding with cimetidine (16 subjects) or synthetic secretin (17 subjects). Persistence of bleeding was confirmed endoscopically before onset. Both drugs were given intravenously over 48 hours. The bleeding was stopped in all 16 patients on secretin without requiring operation. Among the cimetidine-treated patients bleeding stopped in 5 after minor recurrences, while in 11 bleeding persisted or there were severe recurrences. The effect of secretin was significantly better than that of cimetidine after both types of bleeding (P less than 0.01).

摘要

在一项前瞻性交替研究中,33例患有溃疡或应激性病变的患者因活动性非动脉出血接受了西咪替丁(16例)或合成促胰液素(17例)治疗。在出血开始前通过内镜检查确认出血持续存在。两种药物均在48小时内静脉给药。接受促胰液素治疗的所有16例患者出血均停止,无需手术。在接受西咪替丁治疗的患者中,5例在轻微复发后出血停止,而11例出血持续或出现严重复发。两种类型的出血后,促胰液素的疗效均明显优于西咪替丁(P<0.01)。

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