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本文报导92例早期流行性出血热(EHF)患者采用国产聚肌胞(PIC)双盲治疗结果,全部病例均经间接免疫荧光出血热抗体检测确诊。治疗前随机分两组,PIC组47例,安慰剂组的例,PIC用量4mg/日肌肉注射,连用三天为一疗程。结果:PIC组平均退热时间为32.5小时,比安慰剂组快15.2小时(P<0.05),尿蛋白平均消失时间为3.66天,比安慰剂组快1.7天(P<0.01)。47例早期患者经过PIC治疗能顺利越过低血压期及少尿期,无一例死亡,提示国产PIC对EHF确有治疗作用及早期投药的重要性。文章并就国产PIC疗效有关问题进行了讨论。
This article reports 92 cases of early epidemic hemorrhagic fever (EHF) patients using domestic polychaete (PIC) double-blind treatment results, all cases were confirmed by indirect immunofluorescent hemorrhagic fever antibody test. Before treatment, the patients were randomly divided into two groups: PIC group, 47 cases, placebo group, PIC dosage 4mg / day intramuscular injection, once every three days for a course of treatment. Results: The average antipyretic time in PIC group was 32.5 hours, 15.2 hours faster than placebo group (P <0.05). The average disappearance time of urine protein was 3.66 days, which was 1.7 days faster than placebo group (P <0.01). 47 cases of early patients after PIC treatment can successfully crossed the period of hypotension and oliguria without death, suggesting that the domestic PIC does have a therapeutic effect on EHF and the importance of early administration. The article also discussed the issues related to the efficacy of domestic PIC.