作者Copper (退潮)
看板medache
标题Re: [问题] 禁用止血剂 transamine
时间Thu Feb 8 23:55:55 2007
E-Medicine
Antifibrinolytic agents, such as aminocaproic acid and tranexamic acid, are
contraindicated as initial therapies for hemophilia-related hematuria
originating from the upper urinary tract because they can cause obstructive
uropathy or anuria.
我个人的想法,gross hematuria是个sign,治疗应该是找underlying,
真的会因为gross hematuria而造成major blood loss的话,
那打什麽也没用....
(如acute bloody stool,有人会只打transmin,而不去找出血源头吗?)
因此,我的感觉是,打transamin,是针对那些虚弱到无法再做任何事的病人,
又为了给家属一点交代(我们有打止血针,我们有尽力了),
唯一能使用足以安慰的药....
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