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[甲苯达唑治疗泡型棘球蚴病患者]

[The mebendazole treatment of patients with alveolar echinococcosis].

作者信息

Shcherbakov A M, Panteleeva E Ia, Firsova R A

出版信息

Med Parazitol (Mosk). 1993 Mar-Apr(2):14-6.

PMID:8028556
Abstract

Chemotherapy was administered to 17 alveolar echinococcosis patients. Two of these patients developed an uncomplicated disease (a subtotal involvement of both liver lobes), fifteen a complicated condition. In 13 patients with the complicated condition metastases to the lungs, peritoneum, as well as diaphragmatic and abdominal organs' growth were detected, in 4 ones jaundice developed. Mebendazole was administered in a daily dose of 50 mg/kg together with the drugs improving its absorption. 30-day courses with 1-3 month intervals were administered. The efficacy of this therapy and its tolerance were assessed from clinical, laboratory and instrumental findings, including serologic tests. Intolerance presenting as alopecia was observed in 4 women, in one of them twice. Mebendazole efficacy in these patients was compared to that in patients administered the drug in a daily dose of 100 mg in 1978-1980. A positive time course was observed in 53% of patients.

摘要

对17例肺泡型棘球蚴病患者进行了化疗。其中2例患者病情不复杂(双侧肝叶部分受累),15例病情复杂。在13例病情复杂的患者中,检测到肺、腹膜转移以及膈肌和腹部器官生长,4例出现黄疸。甲苯达唑的每日剂量为50mg/kg,并与改善其吸收的药物联合使用。进行30天疗程,间隔1 - 3个月。根据临床、实验室和影像学检查结果,包括血清学检测,评估该疗法的疗效及其耐受性。4名女性出现不耐受,表现为脱发,其中1名女性出现两次。将这些患者中甲苯达唑的疗效与1978 - 1980年每日剂量为100mg的患者进行了比较。53%的患者观察到病情呈阳性进展。

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