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Anticoagulation for pyrrolidine alkaloid plants induced hepatic sinusoidal obstruction syndrome (PA - HSOS): a prospective multicenter randomized controlled study.

Anticoagulation for PA-HSOS: a multicenter RCT

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR-IPR-17010784
Enrollment
Unknown
Registered
2017-03-05
Start date
2017-03-03
Completion date
Unknown
Last updated
2017-04-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

hepatic sinusoidal obstruction syndrome

Interventions

2:conventional symptomatic treatment
2: low molecular heparin, warfarin

Sponsors

Drum Tower Hospital affiliated to Nanjing University Medicine School
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18-75 years old; 2. Diagnosis of PA-HSOS meeting the following criteria,patients with a history of taking containing pyrrolidine alkaloid plants, presence of article 3 in article 5: (1) abdominal distension and ascites, pain of liver area; (2) serum total bilirubin > 17.1 mu mol/L; (3) Peripheral blood can detect pyrrole Protein and content; (4) Typical manifestation in ultrasound and CT (portal vein blood flow velocity < 25 cm/s or CT phase equilibrium "spotted" uneven reinforcement.); (5) Liver biopsy pathology lesions in liver acinus III zone of small blood vessels vasodilatation and hepatic sinus congestion; 3. Agreed and signed informed consent before participating in the study.

Exclusion criteria

Exclusion criteria: 1. Failure to control acute hemorrhage; 2. Because of other illnessespatients must use thrombolysis, antiplatelet or other anticoagulant drugs; 3. Patients with serious heart, lung, liver and renal insufficiency, hemodynamic instability need vasoactive agent to maintain or the blood system diseases with he bleeding tendency; 4. Contraindications. toanticoagulant therapy ;5.There are other causes of liver disease;6.participating in other clinical subjects at the same time.

Design outcomes

Primary

MeasureTime frame
PA - HSOS gulou scoring criteria;

Countries

China

Contacts

Public ContactYuzheng Zhuge

Drum Tower Hospital affiliated to Nanjing University Medicine School

yuzheng9111963@aliyun.com+86 15996289206

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026