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有人介绍阿司匹林不应用于慢性肾功能衰竭患者,因它可促发急性胃肠道大出血。作者调查了104例维持血液透析患者,“定期”服用阿司匹林与急性胃肠道大出血(呕血或/和黑粪)之间的关系,所谓定期服用系指前1年内每周至少1次(剂量不论)。 27例患者钡餐检查显示异常(十二指肠溃疡4例。十二指肠和胃溃疡1例,胃炎6例,十二指肠炎7例及胃十二指肠炎9例),23例患者有定期服用阿司匹林史,10例发生急性胃肠道大出血,其中3例钡餐检查有异常(十二指肠溃疡)发现;61例平均出血
It was introduced aspirin should not be used in patients with chronic renal failure, because it can cause acute gastrointestinal bleeding. The authors investigated the relationship between “regular” aspirin administration and acute gastrointestinal bleeding (hematemesis or / and melena) in 104 hemodialysis patients who maintained hemodialysis, with regular administration of at least 1 week per week during the previous year ). 27 patients showed abnormal barium meal examination (duodenal ulcer in 4 cases, duodenal and gastric ulcer in 1 case, gastritis in 6 cases, duodenitis in 7 cases and gastroduodenitis in 9 cases) and 23 patients had Regular aspirin taking history, 10 cases of acute gastrointestinal bleeding, including 3 cases of abnormal barium meal examination (duodenal ulcer) was found; 61 cases of average bleeding