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[青少年肺结核联合治疗的现代进展]

[Modern aspects of the combined treatment of pulmonary tuberculosis in adolescents].

作者信息

Firsova V A, Rusakova L I, Gubkina M F, Ryzhova A P, Panova L V, Kobulashvili M G, Poluéktova F G, Iatskova T V

出版信息

Probl Tuberk. 2001(7):21-3.

Abstract

The paper presents the follow-up data on 171 adolescents with active pulmonary tuberculosis. Extensive, complicated processes were encountered in 30% of patients. Chemotherapy was used in relation to the severity of disease, to the presence of decay and bacterial isolation, to the sensitivity of Mycobacteria tuberculosis. Most patients received routine treatment regimens including four (n = 66) or three (n = 51) drugs. The treatment involved auxiliary drugs (tarivid, protionamid, amykacin). Pathogenetic treatments (lidase therapy, laser blood radiation, magnetic therapy) were employed. Comorbidity was also treated. Good results were achieved in 95.4% of patients. Hospital treatment decreased by 1.5-3 months.

摘要

该论文展示了171例活动性肺结核青少年患者的随访数据。30%的患者出现广泛、复杂的病情。根据疾病严重程度、是否存在坏死和细菌分离情况以及结核分枝杆菌的敏感性使用化疗方法。大多数患者接受常规治疗方案,包括四种(n = 66)或三种(n = 51)药物。治疗中使用了辅助药物(替利福平、丙硫异烟胺、阿米卡星)。采用了病因治疗(透明质酸酶疗法、激光血液照射、磁疗)。同时也对合并症进行了治疗。95.4%的患者取得了良好效果。住院治疗时间缩短了1.5 - 3个月。

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