Re: [問題] 禁用止血劑 transamine
※ 引述《Copper (退潮)》之銘言:
關於這個 Transamine 的用法,我一直有個疑問,
就是 Bladder bleeding(或是說hematuria的病人),到底要不要用?
我看我們醫院的 Urologist 都會用,
問題是我看過很多病人,後來就一個大血塊塞在urinary tract,
造成 Acute renal failure。
然後就要開刀進去清,開完刀之後,還是會 bleeding...
然後就沒完沒了.....
我也有聽過 VS 說這種病人不要用 Transamine
因為我不是外科系,不知道大家的看法如何?
: TRANEXAMIC ACID
: 3.1 Contraindications
: A) active intravascular clotting process
: B) acquired defective color vision
: C) subarachnoid hemorrhage
: D) hypersensitivity to tranexamic acid
: 3.2 Precautions
: A) may cause visual abnormalities, ophthalmological examination should be
: conducted before and during extended treatment
: B) history of thromboembolic disease
: C) disseminated intravascular coagulation
: D) should not be administered concomitantly with factor IX or
: anti-inhibitory coagulant concentrates; increased risk for thrombosis
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