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[热带地区急性肺部疾病的治疗]

[Treatment of acute pneumopathies in a tropical zone].

作者信息

Coulaud J P, Ndayiragije A, Thimossat P, Kernbaum S

出版信息

Bull Soc Pathol Exot Filiales. 1985;78(5 Pt 2):945-51.

PMID:3836780
Abstract

This treatment must take into account the high frequency of Streptococcus pneumoniae and Haemophilus influenzae which represent over 50% of causes of all bacterial pneumopathies, up to 75% in children under 2 years old. Benzyl-penicillin and injectable delayed action penicillin are drugs of choice and early utilisation reduces considerably the mortality. Other possible antibiotics are macrolides because of their wide range of efficacy and low toxicity, and chloramphenicol which is still one of the best drugs against penicillin-resistant Haemophilus influenzae.

摘要

这种治疗必须考虑到肺炎链球菌和流感嗜血杆菌的高感染率,它们占所有细菌性肺炎病因的50%以上,在2岁以下儿童中高达75%。苄青霉素和长效注射青霉素是首选药物,早期使用可显著降低死亡率。其他可能的抗生素是大环内酯类,因为它们疗效广泛且毒性低,还有氯霉素,它仍然是对抗耐青霉素流感嗜血杆菌的最佳药物之一。

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