【儿童原发性肺结核的化疗方案优化】。

Iu E Ovchinnikova, A A Starshinova, I F Dovgaliuk
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引用次数: 0

摘要

对142例3-14岁局部原发性肺结核患儿的治疗效果进行了分析。根据方案3和方案1进行治疗,根据特定过程的程度和严重程度、并发症的存在和年龄相关特征使用个体剂量方案。在轻度结核病中,发现孤立钙化而没有结核感染活动的迹象,基本疗程为6-8个月;在个别病例中使用2种药物。在弥漫性和复杂的过程中,58.8-61.7%的患儿在治疗3-4个月时中毒消除,x线可见炎症改变,需要更长的强化期,在持续期使用3种药物至6-9个月。
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[Optimization of chemotherapy regimens in children with primary pulmonary tuberculosis].

The efficiency of treatment was analyzed in 142 children aged 3-14 years who had local forms of primary pulmonary tuberculosis. Therapy was performed according to regimens 3 and 1, by using individual dosage regimens depending on the extent and severity of a specific process, the presence of complications, and age-related features. In minor tuberculosis, solitary calcifications being detected without signs of the activity of tuberculous infection, the basic course of therapy was 6-8 months; it was performed using 2 drugs in individual cases. In disseminated and complicated processes, eliminated intoxication and visible X-ray inflammatory changes were observed in 58.8-61.7% of children by months 3-4 of treatment, which required a longer intensive phase, by administering 3 drugs in the continuation phase till 6-9 months.

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[Vaccine prophylaxis of tuberculosis: implication and problems]. [Prevalence of tuberculosis among children and adolescents in the Russian Federation: analysis of official statistics]. [Analysis of the rates of infection and incidence of tuberculosis in children from a poor epidemic-situation area in 2001 to 2006]. [Clinical and epidemiological features of tuberculosis ostitis in BCG-vaccinated children]. [Detection of tuberculosis in Moscow adolescents].
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