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蒿甲醚治疗恶性疟疾现症病人83例

Artemether treatment of falciparum malaria in 83 pa-tients

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【作者】 丰立刚; 杨恒林; 杨品芳; 曾家植; 张强; 舒文谊; 郭志忠; 杨景;

【Author】 CHE Li-Gang, YANG Heng-Lin, YANG Pin-Fang (Institute of Malaria Control and Research, Simao 665000) ZENG Jia-Zhi, ZHANG Qiang (The People’s Hospital -of Mengla, Mengla 666300) SHU Wen-Yi.GUO Zhi-Zhong (The People’s;Hospital of Jinghong, Jinghong 666150) YANG Jing (The Commune Hospital of Daluo, Daluo 666212)

【机构】 云南省疟疾防治研究所; 勐腊县人民医院; 景洪县人民医院; 打洛县打洛镇卫生院 思茅 665000; 思茅 665000; 666300; 666150; 666212;

【摘要】 恶性疟疾现症病人108例,其中83例(男56例,女27例;年龄25±14yr)用蒿甲醚80mg,im,qd(首剂加倍)5d为一个疗程;儿童用量递减;其中有脑型恶性疟1例,并发黑尿热者3例;临床治愈率100%,退热时间为37±24h,平均疟原虫无性体转阴时间为47±20h,35d内的复燃率达13%。另外20例用青蒿琥酯60mg,iv,qd(首剂加倍)4d为一个疗程,疗效与蒿甲醚相似。

【Abstract】 Artemether and artesunate are two new antimalarials. In treating 83 ;patients of acute falciparum malaria(M 56, F 27; age 25±14 yr), including one cerebralmalaria and three complicated with blackwater fever, at the dosage of 80mg/d im for 5 d (initial loading dose was doubled), the clinical cure rate attained to 100%. The mean defervescence time was 37±24 h, and the mean parasitemia clearance time was47?20 h.However there was a recurrence rate of 13% within 35 d. Another 20 patients were treated with artesunate as control, at the dosage of 60 mg/d, iv, for 4 d (initialloading dose was doubled). Artesunate was similar to artemether in clinical effect.

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