Pecco P, Torta L, Negro F, Pavesio D
Servizio di accettazione - Ospedale Infantile Regina Margherita - Torino, Italia.
Pediatr Med Chir. 1989 Jan-Feb;11(1):65-70.
The present study has been tested on 30 children, 14 males and 16 females, average age 4.11 +/- 0.44 (range 9 months to 10 years), weight of 17.08 +/- 1.25 Kg, with infections concerning low respiratory tract (8 cases of broncho-pneumonia, 9 cases of acute bronchitis and 13 cases of lobar pneumonia). It has been used a chemotherapy composed of amoxycillin and clavulanic acid in pediatric suspension of 312.5 mg/5 ml (in the ratio of 4 to 1); the daily dosage, related to the children's weight has been of 43.91 +/- 1.21 mg/Kg in two daily doses. On the average the therapy has lasted for 6.43 +/- 0.19 days from a minimum of 4 to a maximum of 8 days. During the treatment the symptomatologic parameters (dyspnoea, cough), and the objective ones (pathological lung signs, rales, hypophonesis, bronchial breath...) have progressively improved till they have disappeared; morning and evening body temperature has promptly returned to normal. Both the physical and radiological exams of the chest confirm either the improvement or the regression of the infection in most of the cases. Side effects due to the antibiotic have not been registered and local and general tolerability was excellent. Considering the more or less fast and complete symptomatological regression, the evolution of the infective clinical picture and the tolerability, the final evaluations have been: excellent efficacy in 13 cases, good efficacy in 9 cases, fairly good in 5 cases and poor in 3 cases.
本研究对30名儿童进行了测试,其中14名男性,16名女性,平均年龄4.11±0.44岁(范围为9个月至10岁),体重17.08±1.25千克,患有下呼吸道感染(8例支气管肺炎、9例急性支气管炎和13例大叶性肺炎)。使用了由阿莫西林和克拉维酸组成的小儿混悬液化疗药物,浓度为312.5毫克/5毫升(比例为4比1);每日剂量根据儿童体重为43.91±1.21毫克/千克,分两次服用。平均治疗持续时间为6.43±0.19天,最短4天,最长8天。治疗期间,症状学参数(呼吸困难、咳嗽)和客观参数(肺部病理体征、啰音、呼吸减弱、支气管呼吸音……)逐渐改善直至消失;早晚体温迅速恢复正常。胸部的体格检查和影像学检查均证实大多数病例的感染有所改善或消退。未记录到抗生素引起的副作用,局部和全身耐受性良好。考虑到症状或多或少快速且完全消退、感染临床表现的演变以及耐受性,最终评估结果为:13例疗效极佳,9例疗效良好,5例疗效尚可,3例疗效较差。