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The investigators studied the renal function index level in terlipressin treated cirrhotic patients with upper-gastrointestinal bleeding at different time point.
54 cirrhotic patients with uppre-gastrointestinal bleeding were entrolled and were distributed into terlipressin group and control group at 1:1 rate. Patients in Terlipressin group received 1mg/6h of terlipressin intravenously for 5 days, and patients in control group recerved 1mg/12h of Somatostatin intravenously for 5 days.
At enrollment, 24h,48h,72,and 1week, the renal function index level( serum creatinine,urine biochemistry and Urinary tubule injury index etc) were tested.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| terlipression | Experimental | terlipression 1mgï¼›once every 6 hoursï¼›5days |
|
| Control | Active Comparator | Somatostatin,3mg, once every 12 hours; 5 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Terlipressin | Drug | Evaluate the effect of Terlipression on the occurance of acute kidney injury in patients with upper-gastroentestinal bleeding |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of acute kidney injure | serum creatinine level increased by 26.5umol/L during 48hours or increased 50% compared to baseline | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| hemostasis rate | Fecal occult blood negative or hemoglobin stable after 48H treatment | 48 hours |
| incidence of hepatic encephalopathy | Increased blood ammonia or directional force and computational power decrease after 48H treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Xuesong Liang, Dr | Xinhua Hospital, Shanghai Jiao Tong University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Changhai hospital | Shanghai | 200433 | China |
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| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| D006471 | Gastrointestinal Hemorrhage |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D000077585 | Terlipressin |
| D013004 | Somatostatin |
| ID | Term |
|---|---|
| D008236 | Lypressin |
| D014667 | Vasopressins |
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
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| Somatostatin | Drug | Somatostatin |
|
| 48 hours |
| The incidence of spontaneous bacterial peritonitis; | After 48H treatment, there is ascites and ascites has more than 20% nuclear cells | 48 hours |
| The incidence of hyponatremia | Serum sodium levels below 130mmol/l | 48 hours |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D005767 | Gastrointestinal Diseases |
| D006470 | Hemorrhage |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D036361 |
| Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |
| D010905 | Pituitary Hormone Release Inhibiting Hormones |
| D007028 | Hypothalamic Hormones |
| D010187 | Pancreatic Hormones |