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上消化道出血凝血机制的研究

Relationship Between Upper Gastrointestianl BleedingAnd Coagulation Parameters: Preliminary Results

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【作者】 陈贻胜林惠陈锋林海潘秀珍

【Author】 Chen Yisheng;Lin Hui;Chen Feng Department of Medicinl, Fujian Provincial Hospital, Fuzhou

【机构】 福建省立医院内科福建省立医院检验科福建省立医院急症科福建省立医院内科

【摘要】 对75例分别接受H2受体拮抗剂、止血剂和葡萄糖盐水治疗的上消化道出血患者,于治疗前后进行凝血指标及血液流变学检测。所有患者治疗前除VWF:Ag轻度升高,红细胞比积轻度降低外,其他指标均在正常范围。3组患者治疗前后检测结果,3组之间对比差异无统计学意义(P>0.05)。提示上消化道出血患者凝血功能没有明显的障碍,止血剂的使用是没有意义的。

【Abstract】 The present study was designed to demonstrate the role of the coagulation mechanism in upper GI bleeding. Seventy-five patients with upper GI bleeding were studied. Blood samples were taken for the coagulation parameters before treatment. Then the patients were randomized into three groups to receive H2-receptor antagonists, hemostatic drugs and control therapy, respectively. All laboratory items were repeated for 3 days after treatment. The results were compared between pre - and post - treatment in each group,and the values of all parameters had no statistically significant difference (all P>0.05). This study confirms that the function of coagulation system is normal in patients with upper GI bleed- ing. Our results show that hemostatic drugs are unnecessary for upper GI hemorrhage.

【关键词】 上消化道出血凝血机制
【Key words】 upper GI bleedingcoagulation system
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