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消化系统方面用药不当问题 1 止血药的应用问题 临床由于各种原因如溃疡病、胃炎、胃癌或食道静脉曲张破裂等引起的上消化道出血患者,同时选用3～5种止血药的情况相当普遍,如止血敏、安络血,对羧基苯胺(PAMBA)、西咪替丁、去甲肾上腺素、垂体加压素静滴、维生素K注射用再加口服、止血粉、制酸剂等。 例1 溃疡病出血,黑便隐血++++的患者,同时给西咪替丁、止血敏、PAMBA、肾上腺素、垂体加压素、止血粉、制酸剂等多种止血药并用。 既增加患者负担,且某些药如止血敏在于增加血小板生成,安络血在于增加毛细血
Improper use of drugs in the digestive system 1 Application of hemostatic drugs Clinical cases of upper gastrointestinal bleeding caused by a variety of causes such as ulcer disease, gastritis, gastric cancer or esophageal varices and the like, and the use of 3 to 5 hemostatic agents are quite common , Such as bleeding sensitivity, the network of blood, carboxymethyl aniline (PAMBA), cimetidine, norepinephrine, vasopressin infusion, vitamin K injection plus oral, hemostatic powder, antacids and so on. Example 1 ulcer bleeding, black occult blood ++++ patients, and to cimetidine, hemostatic sensitivity, PAMBA, epinephrine, pituitary vasopressin, hemostatic powder, antacids and other hemostatic agents and use. Not only increase the burden on patients, and certain drugs such as hemostasis is to increase platelet production, the network of blood is to increase the capillary