【青少年结核病患者化疗不良反应发生率及类型分析】。

Problemy tuberkuleza Pub Date : 2003-01-01
L V Panova, E S Ovsiankina
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引用次数: 0

摘要

治疗期间,65.7%的患者出现抗结核药物不良反应。过敏反应最常与链霉素的使用有关。与不同时使用这三种药物的治疗方案相比,在治疗方案中同时使用异烟肼、利福平和吡嗪酰胺会增加肝毒性反应的发生率,而不考虑药物的总数。青少年耐多药结核病患者可给予环丝氨酸。谷氨酰胺可防止药物对中枢神经系统的毒性作用,因此环丝氨酸可长期使用(长达9个月)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Incidence of adverse reactions to chemotherapy and their types in adolescents with tuberculosis].

During treatment, 65.7% of the patients developed adverse reactions to antituberculosis drugs. Allergic reactions were most commonly associated with the use of streptomycin. The simultaneous inclusion of isoniazid, rifampicin, and pyrazinamide into the treatment regimens irrespective of the total number of drugs was found to increase the incidence of hepatotoxic reactions as compared with the regimens which do not contain a combination of these 3 drugs. Cycloserin may be given to adolescents with multidrug resistant tuberculosis. Glutaminic acid prevents the toxic effect of the drug on the CNS, therefore cycloserin may be prescribed for a long period (for as long as 9 months).

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