期刊文献+

阿司匹林联合氯吡格雷长期口服致弥漫性结肠出血1例 被引量:1

下载PDF
导出
摘要 患者男性,70岁,主因"阵发性头晕、纳差24 h,晕厥2 h"入院治疗.患者入院常规体格检查无异常,血、尿常规、凝血三项检查正常.入院第2 d 15:30患者纳差、恶心、症状加重并伴大汗、呕吐,呕吐物胃内容物,潜血检查为阴性;当晚19:00患者出现剧烈腹部疼痛并排出黑色成形便,随后反复排黑褐色血便10余次,总量约1200~1500 ml,查血压由120/80 mm Hg(1 mm Hg=0.133 kPa)降至100/60 mm Hg,血红蛋白由142 g/L降至99 g/L,查血小板105×109/L,凝血三项正常.
作者 张树林 张峰
出处 《中国循证心血管医学杂志》 2012年第3期273-273,共1页 Chinese Journal of Evidence-Based Cardiovascular Medicine
  • 相关文献

参考文献3

二级参考文献11

  • 1罗心平,施海明,倪唤春,朱军,王彩萍,李剑,范维琥.负荷剂量的氯吡格雷在38例急性心肌梗死直接支架术中的应用[J].中国新药与临床杂志,2004,23(10):667-670. 被引量:8
  • 2陈玉国,孙祎,张运,徐峰,吕瑞娟,李瑞建.氯吡格雷对非ST抬高急性冠脉综合征病人炎症因子及其预后的影响[J].中国新药与临床杂志,2006,25(6):413-416. 被引量:13
  • 3[1]CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE) [J]. Lancet, 1991,348(9038): 1329.
  • 4[2]Peters R J, Mehta SR, Fox KA, et al. Effects of aspirin dose when used alone or in combination with clopidogTel in patientswith acute coronary syndromes: observations from the Clopidgrel in Unstableangina to prevent Recurrents (CURE) study[ J ] . Circulation, 2003,108(14): 1682.
  • 5[3]Mehta SR, Yusuf S, Peters RJ, et al. Effects of pretreatment with clopidogrel and aspirin followed by long-term therapy in patients undergoing percutaneous coronary intervention: the PCI-CURE study[J] .Lancet,2001,358(9281):527.
  • 6陈新谦,金有豫,汤光.新编药物学[M].15版.北京:人民卫生出版社,2003:570.
  • 7Degraba TJ. Immunogenetic susceptibility of atherosclerotic stroke: implications on current and future treatment of vascular inflamation [J].Stroke,2004,35:2712 -9.
  • 8Bhatt DL,Topol EJ. Scientific and therapeutic advances in antiplatelet therapy. Nat Rev Drug Discov,2003,2 : 15 - 28.
  • 9Hankey GJ, sudlow CL, Dunbabin DW. Thienopyridine derivatives (tidopidine clopidogrel)versus aspirin for preventing stroke and other serious vascular events in high vascular risk patients [ J ]. Cochrane Database Syst. Rew ,2000,2 : cd001246.
  • 10Markus Hs, Droste DW, Kaps II, et al. Dual antiplatelet therapy with clopidogrel and aspirin in symptomatic carotid stenosis evaluated using doppler embotic signal detection : the clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid (CARESS) tiral[J].Circulation,2005,111:2233 - 40.

共引文献14

同被引文献13

引证文献1

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部