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近两年来,我们用利福平治疗曾用过氯霉素、新霉素、四环索、红霉素、痢特灵和磺胺药物无效,而转为慢性迁延型菌痢34例,疗效满意。现简介如下。病例选择 34例均有急性菌痢史,长期病情不见好转,腹痛,长期腹泻,不同程度贫血,精液脓血便,大便镜检有脓细胞及红细胞。治疗方法口服利福平,每早空腹服600毫克,连疾5日为一疗程。如症状未愈,可连服第二、三个疗程。疗效观察 34例全部治愈。基中一个疗程治愈24例,两个疗效治愈9例,3个疗程治愈1例,半年后随访,无1例复发。
The past two years, we used rifampicin once used chloramphenicol, neomycin, tetracycline, erythromycin, furazolidone and sulfa drugs ineffective, and converted to chronic prolonged dysentery in 34 cases, with satisfactory results . Now the introduction is as follows. 34 cases were selected cases of acute bacillary dysentery history, long-term condition did not improve, abdominal pain, long-term diarrhea, varying degrees of anemia, seminal fluid purgation, stool examination with pus and red blood cells. Treatment oral rifampicin, 600 mg per day fasting, and even disease on the 5th for a course of treatment. If the symptoms are not cured, can even serve the second, three courses. Efficacy of 34 cases were cured. In the treatment group, 24 cases were cured by one course of treatment, 9 cases were cured by two curatives, 1 case was cured by 3 courses and followed up after 6 months without any recurrence.