治疗住院急症患者的恶心症状

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-04-15 DOI:10.61409/v11230735

Mariam Nersesjan, Simon Carstensen Nersesjan, Lars Pedersen, Mikkel Bring Christensen

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引用次数: 0

摘要

有证据表明，现有的止吐药对于因晕车、怀孕、麻醉、化疗或放疗以外的其他原因引起的急性恶心，与静脉输液治疗效果相当。每种止吐药都有不良反应，包括运动障碍、镇静和 QT 延长。建议将静脉输液和针对潜在病理的治疗作为缓解这些患者恶心症状的一线治疗方法。本综述认为，如果临床上需要使用止吐药，昂丹司琼的副作用和价格之间的比率最为有利。

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Treatment of nausea in hospitalized patients with acute illness

Evidence suggests that available antiemetics are equal to intravenous fluid treatment against acute nausea of other causes than motion sickness, pregnancy, anaesthesia, chemo- or radiation therapy. Each antiemetic is associated with adverse effects, which include movement disorders, sedation, and QT prolongation. Intravenous fluid and treatment directed against underlying pathology is recommended as a first-line treatment against nausea in these patients. If an antiemetic is clinically warranted, ondansetron has the most favourable ratio between side effects and price, as argued in this review.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.