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泼尼松龙、静脉注射丙种球蛋白和抗坏血酸治疗亚急性坏死性脊髓炎。一项前瞻性临床试验。

Treatment of onyalai with prednisolone, intravenous gammaglobulin and ascorbic acid. A prospective clinical trial.

作者信息

Hesseling P B, Girdle-Brown B, Oosthuysen E, Smit J

出版信息

S Afr Med J. 1984 Dec 15;66(24):917-8.

PMID:6095468
Abstract

Forty-two patients in the acute phase of onyalai were admitted to hospital and randomly divided into three groups of 14 to receive prednisolone 3 mg/kg/d for 1 week, intravenous gammaglobulin 100 mg/kg on 2 successive days, or ascorbic acid 1000 mg 3 times a day for 1 week. The groups were comparable with regard to sex and age distribution, initial platelet counts and initial haemoglobin values. No statistical difference was observed between the three treatment groups with regard to changes in the platelet counts during the period of observation. One patient died from haemorrhagic shock. The low mortality rate in this series suggests that admission to hospital and early correction of blood loss are important factors in reducing the mortality rate associated with onyalai.

摘要

42名处于奥尼拉病毒病急性期的患者入院,并随机分为三组,每组14人,分别接受以下治疗:泼尼松龙3毫克/千克/天,持续1周;连续2天静脉注射丙种球蛋白100毫克/千克;或维生素C 1000毫克,每天3次,持续1周。三组在性别、年龄分布、初始血小板计数和初始血红蛋白值方面具有可比性。在观察期内,三个治疗组之间的血小板计数变化没有统计学差异。1例患者死于失血性休克。该系列中的低死亡率表明,入院和早期纠正失血是降低与奥尼拉病毒病相关死亡率的重要因素。

相似文献

1
Treatment of onyalai with prednisolone, intravenous gammaglobulin and ascorbic acid. A prospective clinical trial.泼尼松龙、静脉注射丙种球蛋白和抗坏血酸治疗亚急性坏死性脊髓炎。一项前瞻性临床试验。
S Afr Med J. 1984 Dec 15;66(24):917-8.
2
Onyalai in Namibia. Clinical manifestations, haematological findings, course and management of 103 patients in the Kavango territory.纳米比亚的奥尼亚莱病。卡万戈地区103例患者的临床表现、血液学检查结果、病程及治疗
Trans R Soc Trop Med Hyg. 1987;81(2):193-6. doi: 10.1016/0035-9203(87)90212-4.
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[Clinical effect of combination therapy with high-dose gammaglobulin and prednisolone on chronic idiopathic thrombocytopenic purpura in children].大剂量丙种球蛋白联合泼尼松治疗儿童慢性特发性血小板减少性紫癜的临床疗效
Rinsho Ketsueki. 1988 May;29(5):671-5.
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High-dose immunoglobulin therapy in four patients with onyalai.4例奥尼亚莱患者的大剂量免疫球蛋白治疗
Trans R Soc Trop Med Hyg. 1991 Jan-Feb;85(1):131-2. doi: 10.1016/0035-9203(91)90186-3.
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Onyalai--therapeutic effects of vincristine sulphate. A prospective randomized trial.
S Afr Med J. 1986 Aug 16;70(4):201-2.
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Prolongation of platelet survival in idiopathic thrombocytopenic purpura by high-dose intravenous gamma globulin.大剂量静脉注射丙种球蛋白延长特发性血小板减少性紫癜患者的血小板生存期
Thromb Haemost. 1984 Feb 28;51(1):65-6.
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A cooperative clinical trial of high-dose immunoglobulin therapy in 177 cases of idiopathic thrombocytopenic purpura.177例特发性血小板减少性紫癜高剂量免疫球蛋白治疗的合作临床试验。
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Platelet antibodies in immune thrombocytopenic purpura and onyalai.免疫性血小板减少性紫癜和奥尼亚莱中的血小板抗体。
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[Treatment of idiopathic thrombocytopenic purpura using high-dose intravenous gammaglobulins. Experience with 12 patients].[大剂量静脉注射丙种球蛋白治疗特发性血小板减少性紫癜。12例患者的经验]
Sangre (Barc). 1984;29(2):105-9.
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[Indications for high-dose immunoglobulin therapy in idiopathic thrombocytopenic purpura and its evaluation].
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引用本文的文献

1
Mega-dose intravenous methylprednisone for the treatment of onyalai: a case report.大剂量静脉注射甲基强的松龙治疗奥尼亚莱:一例报告。
Eur J Pediatr. 1991 Feb;150(4):228-9. doi: 10.1007/BF01955517.