艾滋病的治疗。

Zeitschrift fur Hautkrankheiten Pub Date : 1990-07-01
J Hutterer
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引用次数: 0

摘要

艾滋病的治疗包括两个方面:(1)针对HIV的病原治疗;(2)机会性感染和恶性肿瘤的对症治疗。迄今为止,使用逆转录酶抑制剂获得的抗逆转录病毒治疗(体内和体外)的最佳结果。我们讨论了核苷类似物AZT的作用机制、疗效和副作用,并评论了与阿昔洛韦和免疫调节剂的联合治疗。我们报道了磺胺甲恶唑/甲氧苄啶和喷他脒治疗最常见的机会性感染-即卡氏肺囊虫肺炎,以及这种疾病的化学预防。在过去几年中,在抗病毒化疗(HSV、CMV、VZV)和胃肠道感染治疗领域取得了重要进展。此外,卡波西肉瘤合并艾滋病和非霍奇金淋巴瘤的治疗方法目前已经建立。
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[AIDS therapy].

Therapy of AIDS comprises two aspects: (1) causative therapy, directed against HIV, and (2) symptomatic therapy of opportunistic infections and malignancies. The best results regarding antiretroviral therapy - both in vitro and in vivo - have been obtained, so far, with inhibitors of reverse transcriptase. We discuss the mechanism of action, the efficacy, and the side effects of AZT, a nucleoside analogue, and comment on combined therapies with acyclovir and immunomodulators. We report on the therapy of the most frequent opportunistic infection - i.e. Pneumocystis carinii pneumonia - with sulfamethoxazole/trimethoprim and pentamidine as well as the chemoprophylaxis of this disease. During the last few years, important progress has been made in the field of antiviral chemotherapy (HSV, CMV, VZV) and the therapy of gastrointestinal infections. Moreover, the therapy of Kaposi's sarcoma associated with AIDS and that of non-Hodgkin's lymphoma has been established by now.

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[Gangrenous pyoderma]. [Trichoadenoma]. [Fibrofolliculoma]. [Elastofibroma dorsi]. [Serodiagnosis of Lyme borreliosis].
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