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结核性脑膜炎患者口服药物存在着困难,而制成利福平静脉注射液。作者对29例结核性脑膜炎病人按标准剂量进行治疗,其中成人18例(18~21岁),小儿11例(1~12岁)。利福平通过静脉内推注或静脉内滴注给药,并用INH和/或SM。利福平成人剂量每日为300~600mg,小儿剂量为15~30mg/Kg体重,连续用药31天。滴注后的头3小时,脑脊液(CSF)中的利福平浓度约为血浆的13%。疗效评价:27例有效,其中20例明显进步。29例中有4例出现副反应;
Tuberculosis meningitis in patients with oral medication difficulties, and made of rifampicin injection. The authors treated 29 patients with tuberculous meningitis at standard doses, including 18 adults (18-21 years) and 11 children (1-12 years). Rifampicin is administered by intravenous bolus or intravenous drip, with INH and / or SM. Rifampicin adult daily dose of 300 ~ 600mg, children dose of 15 ~ 30mg / Kg body weight, continuous medication for 31 days. Three hours after instillation, the concentration of rifampin in cerebrospinal fluid (CSF) was about 13% of that in plasma. Efficacy evaluation: 27 cases were effective, of which 20 cases markedly improved. There were 4 cases of side effects in 29 cases;