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药物性胃肠道出血。波士顿大学医学中心波士顿合作药物监测项目的报告。

Drug-induced gastrointestinal bleeding. Report from the Boston Collaborative Drug Surveillance Program, Boston University Medical Center.

作者信息

Jick H, Porter J

出版信息

Lancet. 1978 Jul 8;2(8080):87-9. doi: 10.1016/s0140-6736(78)91396-x.

DOI:10.1016/s0140-6736(78)91396-x
PMID:78309
Abstract

Rates of drug-induced gastrointestinal bleeding were estimated from data on 16 646 consecutively monitored medical inpatients who had no known predisposing illness. Heparin, warfarin, ethacrynic acid, steroids, and aspirin-containing drugs were associated with gastrointestinal bleeding and were estimated to account for about two-thirds of such bleeds. Major gastrointestinal bleeding, defined as bleeding severe enough to require transfusion, occurred in only 57 patients (0.3%).

摘要

药物性胃肠道出血的发生率是根据对16646名连续监测的无已知易患疾病的内科住院患者的数据估算得出的。肝素、华法林、依他尼酸、类固醇以及含阿司匹林的药物与胃肠道出血有关,据估计约占此类出血的三分之二。严重到需要输血的大出血仅发生在57名患者中(0.3%)。

相似文献

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Drug-induced gastrointestinal bleeding. Report from the Boston Collaborative Drug Surveillance Program, Boston University Medical Center.药物性胃肠道出血。波士顿大学医学中心波士顿合作药物监测项目的报告。
Lancet. 1978 Jul 8;2(8080):87-9. doi: 10.1016/s0140-6736(78)91396-x.
2
Effects of aspirin and acetaminophen in gastrointestinal hemorrhage. Results from the Boston Collaborative Drug Surveillance Program.
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3
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Frequency of major complications of aspirin, warfarin, and intravenous heparin for secondary stroke prevention. A population-based study.
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[Drug-induced hemorrhages of the gastrointestinal tract].[药物性胃肠道出血]
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Gastrointestinal bleeding risk of non-vitamin K oral anticoagulants is similar to warfarin - a Japanese retrospective cohort study
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Drug drug interactions between antithrombotic medications and the risk of gastrointestinal bleeding.抗血栓药物之间的药物相互作用与胃肠道出血风险
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Lancet Gastroenterol Hepatol. 2017 Feb;2(2):85-93. doi: 10.1016/S2468-1253(16)30162-5. Epub 2016 Nov 16.

引用本文的文献

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CMAJ. 2006 Feb 28;174(5):635-41. doi: 10.1503/cmaj.050873.
2
Monitoring plasma concentrations of salicylate.监测水杨酸盐的血浆浓度。
Clin Pharmacokinet. 1980 Sep-Oct;5(5):424-40. doi: 10.2165/00003088-198005050-00002.
3
Drug-induced gastric mucosal injury.药物性胃黏膜损伤
World J Surg. 1981 Mar;5(2):199-208. doi: 10.1007/BF01658289.
4
Gastrointestinal toxicity of minor analgesics.轻度镇痛药的胃肠道毒性
Br J Clin Pharmacol. 1980 Oct;10 Suppl 2(Suppl 2):407S-410S. doi: 10.1111/j.1365-2125.1980.tb01831.x.
5
Prevention of aspirin-induced faecal blood loss by prostaglandin E2.前列腺素E2预防阿司匹林引起的粪便失血。
Gut. 1980 Jul;21(7):602-6. doi: 10.1136/gut.21.7.602.
6
Risk of overt bleeding following aspirin.阿司匹林治疗后出现明显出血的风险。
J R Soc Med. 1980 Dec;73(12):895-6. doi: 10.1177/014107688007301222.
7
Hematologic disorders in the elderly.老年人的血液系统疾病
West J Med. 1981 Dec;135(6):446-54.
8
Antiprostaglandin synthetase activity of nonsteroidal anti-inflammatory drugs and gastrointestinal micro-bleeding: a comparison of flurbiprofen with benoxaprofen.非甾体抗炎药的抗前列腺素合成酶活性与胃肠道微出血:氟比洛芬与贝诺洛芬的比较
Ann Rheum Dis. 1981 Oct;40(5):455-61. doi: 10.1136/ard.40.5.455.
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Non-steroidal anti-inflammatory drugs and gastrointestinal adverse effects.非甾体抗炎药与胃肠道不良反应。
J R Coll Physicians Lond. 1983 Oct;17(4):228-30.
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West J Med. 1982 Nov;137(5):375-8.