摘要
阿奇霉素(AZM)对肺炎支原体(MP)感染治疗的有效性逐渐降低,但当前仍然只能应用以AZM为代表的大环内酯类抗生素。对于轻症肺炎支原体肺炎(MPP),AZM应用3天即可,因其抑制敏感菌的有效血药浓度仍可持续一周之久。对重症感染,既可连续应用5天~7天,也可间断应用2个~3个疗程。使用糖皮质激素及支气管-肺泡灌洗疗法对难治性MPP均有较好疗效。中医药对MP感染有一定疗效,应深入、积极开展临床研究。在应用AZM治疗"可能"存在的MP感染时,应充分考虑利弊得失。
The effect of treatment of MPP by Azithromycin(AZM)is bringing down gradually but we have to use it to treat MP infection.The 3 days therapy for mild MPP is enough because the blood concentration inhibiting MP could persist for one week.For severe MPP 5 to 7 days or 23 course of treatment of AZM is feasible.Glucocorticoid and bronchoalveolar lavage is effective for refractory MPP.Traditional Chinese medicine has some therapeutic effect for MP infection.Gain and loss should be considered when AZM be used for uncertain MP Infection.
出处
《医学与哲学（B）》
2018年第1期19-22,共4页
Medicine & Philosophy(B)
关键词
阿奇霉素
肺炎支原体
中医药
Azithromycin
Mycoplasma pneumoniae
traditional Chinese medicine
