就是上傳

Upload: yen-fu-chen

Post on 07-Mar-2016

6 views

Category:

Documents


0 download

DESCRIPTION

恩對

TRANSCRIPT

7 Gastrointestinal drugs7.1

1.

(1)

(2)

(3)

(4)gefarnatecetraxatecarbenoxolone

(5)

dibismuth trioxide, sucralfate, pirenzepine HCl, Gaspin, Caved-S, misoprostol, proglumide

2.

(1)activehealing(92/10/1)

(2)scar stage

(3)The Los Angeles Classification of EsophagitisGrade AGrade B(92/10/1)

(4)The Los Angeles Classification of EsophagitisGrade CGrade D(92/10/1)

.

.Zollinger-Ellision

(5)NSAIDsNSAIDs(92/10/1)

(6)24pH(92/10/1)

(7)(92/10/1)

(8)

(9)(92/10/1)

(10)

(11)NSAIDs(misoprostol)(99/7/1)

(12)Barretts esophagus(101/1/1)

1.The Los Angeles Classification of Esophagitis

Grade A:One or more mucosal break,each 5mm long,confined to the mucosal folds

Grade B:One or more mucosal break > 5mm long, confined to the mucosal folds but not continuous between the tops of two mucosal folds

Grade C:One or more mucosal break continuous between the tops of two or more mucosal folds but which involve less than 75% of the esophageal circumference

Grade D:Mucosal breaks which involve less than 75% of the esophageal circumference

2.()(92/10/1)

7.2. Antiemetic drugs

7.2.1.Serotonin antagonistsondansetrongranisetrontropisetronramosetronpalonosetron(93/2/193/9/198/9/199/5/1101/4/1102/9/1)1.

2./(98/9/199/5/1)

(1)ondansetron 8~32 mggranisetron 1~3 mgtropisetron 5 mgramosetron 0.3 mg

(2)ondansetron 8~32 mggranisetron 1~3 mgtropisetron 5 mgramosetron 0.3 mgdexamethasone metoclopramide dexamethasone metoclopramide

(3)(93/9/1)

(4)Palonosetron(99/5/1)

3.ondansetrongranisetron(93/9/1)

(1)Total body or half body irradiation

(2)Pelvis or upper abdominal region of single irradiation dose> 6 Gy

(3)dexamethasonemetoclopramideprochlorperazine4.(102/9/1)7.2.2. Neurokinin-1 receptor antagonist aprepitantfosaprepitant(94/10/1101/02/1101/4/1101/12/1102/8/1)1.(101/2/1)

2.(101/4/1101/12/1)3.5-HT3(101/4/1)4.Grade 2 7.2.1.serotonin antagonist(102/8/1)

1.cisplatin (>50 mg/m2/day)carmustine (250 mg/m2 /day)cyclophosphamide (>1500 mg/m2/day)methotrexate (1.2 gm/m2/day) anthracycline (101/02/1101/4/1

2. (101/4/1)

cisplatin (30 mg/m2/day, 50 mg/m2/day)carmustine (