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对本院收治菌性痢疾病人中,病历较详之326例的治疗情况,试作一般性分析探讨。326例均为17—36岁男性病人,96%均有典型菌痢临床症状,大便粘血及脓血占89.5%,白血球增高者.7%,并发阿米巴痢疾者3.6%,沙门氏菌1.2%,伤寒0.3%。治疗以内服磺胺剂,大蒜溶液灌肠,抗生素治疗等办法,治愈率近97%。其中以大蒜灌肠治疗效果较为满意(88%),而且价廉,易于推行。尤其对弗氏杆菌性痢疾效果较佳。而宋氏杆菌性痢疾则以磺胺嘧啶疗效较佳,总用量以40—50克为宜,但需注意其副作用。磺胺胍有效率64%(治愈43%,进步21%),总用量50—70克为宜。金霉素、氯霉素有抑制急性期症状之作用,因价
Of hospitalized patients with bacillary dysentery, medical records more detailed treatment of 326 cases, for a general analysis of the discussion. 326 cases were male patients aged 17-36 years, 96% of the clinical symptoms of typical bacillary dysentery, stool sticky blood and purulent blood accounted for 89.5%, 7% of leukocytosis, concurrent amoebic dysentery 3.6%, Salmonella 1.2% , Typhoid 0.3%. Treatment with oral sulfonamides, garlic solution enema, antibiotic treatment and other means, the cure rate of nearly 97%. Which garlic enema treatment more satisfied (88%), but also cheap, easy to implement. In particular, the effect of genital dysentery better. Sang bacillary disease dysentery with sulfadiazine better efficacy, the total amount of 40-50 g is appropriate, but should pay attention to its side effects. Sulfaguanidine efficiency 64% (cured 43%, 21% improvement), the total amount of 50-70 grams is appropriate. Chlortetracycline, chloramphenicol can inhibit the symptoms of acute phase, due to price