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1. 第一医院传染病学教研室
2. 雅安地区医院儿科
纸质出版日期:1984,
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[1]谌取鼎,王汉勋,刘约翰,王其南,段明刚,王小根,曾凡荣.吡喹酮治疗四川(斯氏)肺吸虫病的初步观察[J].重庆医学院学报,1984(03):177-180.
PRAZIQUANTEL IN THE TREATMENT OF PARAGONIMIASIS SZECHUANENSIS A PRELIMINARY REPORT OF 18 CASES[J]. Journal of Chongqing Medical University, 1984,(3):177-180.
<正> 吡喹酮(Praziquantel、Embay8440)为近年来合成的广谱抗寄生虫新药
经动物实验和临床观察
证明该药对血吸虫病、华支睾吸虫病、卫氏肺吸虫病、孟氏裂头蚴病均有良好的疗效。为观察吡喹酮对四川(斯氏)肺吸虫病的疗效
我们于1981年4月
18 cases of paragonimiasis szechuanensis(P.sknjabini)were treated with praziquantel in dosage of 25 mg/kg tid for 2 successive days
(total dose 150 mg/kg)in 1981-1982 and were fol- lowed up for 6 months in 16 cases and for 3 months in 2 cases posttreatment.Among them
9 were cutaneous form with migratory subcutaneous nodules;5 were cerebral-meningeal form
4 with epilepsy and 1 with eosinophilic meningitis;3 were pleural-pulmonary form;(There were also pleural-pulmonary lesions in other forms.)1 was ocular form with unilateral exophthalmos. 4 patients of cerebral and 1 patient of ocular form were given 2 treatment courses while the last patient of cerebral form with repeated grandmal attacks received 3 treatment courses. During the follow-up examination
the migratory subcutaneous nodules in 9 patients all disap- peared;The eosinophilic pleural effusions in 4 patients and the pulmonary infiltrations in 7 patie- nts were also absorbed.The patient with unilateral exophthalmos also showed remarkably compl- ete recovery.Among 5 patients of the cerebral-meningeal form
one patient with eosinophilic meningitis completely recovered;epilepsy in 3 patients ceased
only one patient whose duration of illness was 22 months before admission continued to have minor attacks which were less frequ- ent than before. It is recommended that praziquantel is a new paragonimicidal drug
also effective in killing P.szechuanensis larva.In comparison with bithionol
it has the merits of high efficacy
low toxicity and short treatment course and is therefore worth while for further clinical trial.
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