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[阿富汗军人急性肺炎的临床病程]

[The clinical course of acute pneumonia in servicemen in Afghanistan].

作者信息

Novozhenov V G, Kolomoets N M, Volchek I A, Belonogov M A

出版信息

Voen Med Zh. 1994 Jan(1):23-5, 80.

PMID:8178498
Abstract

The study of 820 histories was carried out in order to ascertain characteristic features of clinical course of acute pneumonia in the conditions of Afghanistan. All these patients underwent treatment in the Central Military Hospital of the 40th Army in Kabul in 1980-1989. The immunity status, the the level of peroxide oxidation of lipids (POL), and the state of antioxidant system (AOS) were also studied in 132 patients. The clinical course of pneumonia in comparison with its manifestation on the territory of Russia was characterized by pronounced intoxication of an organism, broncho-obstruction, vast inflammatory infiltration, hyperactivization of the immune system, POL, and AOS exhaustion. All these factors correspond to the syndrome of disadoptative disorders. Medications recommended for complex treatment: antioxidants, immunoglobulins, albumin, low-molecular dextrans.

摘要

为了确定阿富汗条件下急性肺炎临床病程的特征,对820例病史进行了研究。所有这些患者于1980年至1989年在喀布尔第40集团军中央军事医院接受治疗。还对132例患者的免疫状态、脂质过氧化水平(POL)和抗氧化系统(AOS)状态进行了研究。与俄罗斯境内肺炎的表现相比,阿富汗肺炎的临床病程以机体明显中毒、支气管阻塞、广泛炎症浸润、免疫系统过度激活、POL和AOS耗竭为特征。所有这些因素都与适应不良综合征相对应。推荐用于综合治疗的药物:抗氧化剂、免疫球蛋白、白蛋白、低分子右旋糖酐。

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