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编辑同志: 贵刊1996年9卷2期刊登“四咪替丁治疗急性颌下腺炎2例”一文,其中有几点令人不解,应提出讨论。 1、根据文中提供的资料,结合2例均有不同程度的“红、肿、痛、热、功能障碍”,及实验室检查(例1血象不高不排除与院外抗感染治疗有关)化脓性感染诊断成立。是炎症,选用抗生素是正确的,既便流行性颌下腺炎,2例入院前病程已分别达7天、20天。酌情加用抗生素亦属必要。作者说成治疗无效是不妥的,只能说在没有病原菌分类及药敏试验的情况下,盲目选择抗生素效不佳或效不显而已。
Edit comrades: your magazine 1996 9 Volume 2 published “four mute for the treatment of acute submandibular gland in 2 cases,” one article, there are a few puzzling, should be discussed. 1, according to the information provided in the article, combined with two cases have varying degrees of “red, swollen, pain, heat, dysfunction,” and laboratory tests (1 blood is not high and does not rule out the hospital anti-infective treatment of purulent Infection diagnosis established. Is inflammation, the choice of antibiotics is correct, even as the epidemic submandibular gland inflammation, two cases of pre-admission course of disease have been up to 7 days, 20 days. It is also necessary to add antibiotics as appropriate. The author said that treatment ineffective is wrong, can only say that in the absence of pathogen classification and drug susceptibility testing, the blind selection of antibiotics ineffective or ineffective.