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正确治疗恶性疟疾首先应区别有无并发症和对抗疟药的抗性或敏感性,然后按下列四种不同临床类型分别采取相应的治疗方案:①对氯喹敏感并且无并发症者,应首选氯喹;②对氯喹敏感的重症恶性疟,可选用氯喹静滴或肌注或皮下注射;③对氯喹有抗性的无并发症的恶性疟,可酌情选用方西达,奎宁,奎宁加四环素,甲氟喹或 MSP;④抗氯喹的重症恶性疟,应首选奎宁静滴,在无奎宁的情况下可用奎尼丁替代。对上述药物的剂量疗程、毒副作用和注意事项都作了具体而实用的说明。
The correct treatment of falciparum malaria should first distinguish whether there are complications and resistance or antimalarial drug resistance or sensitivity, and then according to the following four different clinical types, respectively, to take the appropriate treatment: ① chloroquine sensitive and without complications, chloroquine ; ② chloroquine sensitive severe falciparum malaria, chloroquine can be used intravenously or intramuscularly or subcutaneously; ③ chloroquine-resistant non-comptile falciparum malaria, discretionary use of fester, quinine, quinine plus tetracycline , Mefloquine or MSP; ④ anti-chloroquine severe falciparum malaria should be the first choice of intravenous quinine quinidine in the absence of quinidine can be replaced. The dose of the drug treatment, side effects and precautions have made a concrete and practical description.