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解读美国胃肠病学会幽门螺旋杆菌感染治疗最新指南(续一) 被引量:10

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摘要 4 诊断试验在临床实践中的应用 4.1 需要内镜检查的Hpylori检测法 如果根据患者的临床症状认为有必要进行内镜检查,最好是采取基于活组织检查的内镜检查试验。如果患者近期未接受铋、抗生素或PPI治疗,最好采用RUT法,因其既精确,又廉价。如果在内镜检查时发现黏膜异常,则需要获取活组织样本进行进一步组织学评估。问题是大多数需要上消化道内镜检查的患者都正在接受酸抑制剂(如PPI或H2RA)治疗,或者近期接受过抗生素或铋的治疗。无论是否对该类患者进行了RUT检测,
作者 姚瑜
出处 《国外医药(抗生素分册)》 CAS 2008年第1期36-43,共8页 World Notes on Antibiotics
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