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[耐药肺结核患者的治疗策略]

[Therapy strategy in the treatment of patients with drug-resistant pulmonary tuberculosis].

作者信息

Ivanova L A, Pavlova M V, Archakova L I

出版信息

Probl Tuberk Bolezn Legk. 2003(5):14-6.

Abstract

The article contains a clinical- X-ray- and laboratory description of 56 patients with tuberculosis (disease length ranging from 2 to 5 years), who, during the previous treatment stage, received a therapy in compliance with the generally accepted methods and without any effect. All patients discharged bacteria. Drug-resistance to 3 and more preparations was registered in all patients. A complex approach to the therapy of patients with destructive pulmonary tuberculosis is suggested, within the study, with regard for the presence of multidrug-resistance of Mycobacterium tuberculosis (MBT), for a degree of inactivation of isoniazid and for a degree of bacterial-static activity of patient's blood, which provides for a higher treatment efficiency.

摘要

该文章包含了对56例肺结核患者(病程为2至5年)的临床、X线和实验室描述,这些患者在前一治疗阶段接受了符合普遍认可方法的治疗但无任何效果。所有患者均排出细菌。所有患者均对3种及以上制剂耐药。在该研究中,针对具有结核分枝杆菌(MBT)多重耐药、异烟肼失活程度以及患者血液抑菌活性程度的情况,建议采用综合方法治疗毁损性肺结核患者,以提高治疗效果。

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