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[环丙沙星治疗与未治疗儿童膝关节的关节软骨、骨骺板、松质骨和滑膜的比较形态学分析]

[Comparative morphological analysis of the articular cartilage, epiphyseal plate, spongy bone, and synovial membrane of the knee joint in children treated and not treated with ciprofloxacin].

作者信息

Postnikov S S, Nazhimov V P, Semykin S Iu, Kapranov N I

机构信息

Russian State Medical University, Moscow.

出版信息

Antibiot Khimioter. 2000;45(11):9-13.

Abstract

Comparative data on he postmortem morphological examination of the knee joint in children treated and not treated with ciprofloxacin while alive are presented. Nine children were ill with mucoviscidosis and 8 children were ill with aplastic anemia. The patients were ill with mucoviscidosis and 8 children were ill with aplastic anemia. The patients were treated with ciprofloxacin in a daily dose of 20 to 40 mg/kg body weight at the average for 148 days. The condition of the articular cartilage, growth area, spongy bone and synovial membrane of the knee joint was examined visually, histologically and morphologically. It was revealed that ciprofloxacin had no chondrotoxic effect. The structure affected in some cases by the ciprofloxacin treatment was the synovial membrane which developed subacute synovitis not clinically manifested (latent) in life. The phenomenon is explained.

摘要

本文给出了生前接受和未接受环丙沙星治疗的儿童膝关节尸检形态学检查的对比数据。9名儿童患有黏液黏稠病,8名儿童患有再生障碍性贫血。这些患者接受了环丙沙星治疗,日剂量为20至40毫克/千克体重,平均治疗148天。对膝关节的关节软骨、生长区、松质骨和滑膜状况进行了肉眼、组织学和形态学检查。结果显示,环丙沙星没有软骨毒性作用。环丙沙星治疗在某些情况下影响的结构是滑膜,其出现了亚急性滑膜炎,生前临床上未表现出来(潜伏性)。对该现象进行了解释。

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