梅毒如何治疗 郝飞 陆军军医大学第一附属医院
Автор: 健康中国之名医在线2
Загружено: 2020-07-26
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梅毒如何治疗 郝飞 陆军军医大学第一附属医院
梅毒的治疗既简单又复杂。最简单的治疗就是注意隔离,减少传播,同时一旦确诊为梅毒就要用青霉素治疗。现在主要用的是长效青霉素也就是苄星青霉素,是一个不可替代的药物治疗。如果青霉素过敏可以考虑选择红霉素类药物或者是头孢类的药物,但是不如青霉素疗效好。对于早期梅毒来讲这样的治疗就可以满足,而现在这样的治疗可以有效地减少它的传染性,而且可以积极的控制病情。但是如果进入到晚期梅毒,比如像神经梅毒或者是一些组织器官损伤的梅毒,这个时候青霉素治疗效果就不好了,可以主张用一些像水晶青霉素静脉给药,可以大剂量的长疗程的进行治疗,但通常效果也不是特别好。因此梅毒的治疗主要是选择青霉素作为代表性的药物治疗,除此以外没有其他更好的一些办法。
How to treat syphilis
The treatment of syphilis is simple and complicated. The simplest treatment is isolation, Reduce communication, At the same time, once diagnosed as syphilis, penicillin should be used for treatment. Now we mainly use long-acting penicillin, i.e. benzathine penicillin, It is an irreplaceable drug treatment. If penicillin allergy can be considered to choose erythromycin drugs or cephalosporins, But it's not as good as penicillin. For early syphilis, such treatment can be satisfied, And now this treatment can effectively reduce its infectivity, And can actively control the disease. But when it comes to advanced syphilis, For example, neurosyphilis or syphilis with tissue damage, At this time, the effect of penicillin treatment is not good, It can be claimed that some drugs like crystalline penicillin are given intravenously, It can be treated in large doses and long courses, But usually the effect is not very good. Therefore, the treatment of syphilis is mainly to choose penicillin as the representative drug treatment, There are no better ways.
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