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慎密的统计学资料表明,在使用抗菌药物年代之前,风湿热的发病情况已有所下降,但对其原因尚不明了,故在估计这种持续下降的趋势时,不应过分乐观。并且不应盲目地相信抗菌素是解决风湿热问题的最后方法。尽管“足量地”反复使用青霉素治疗,仍然不能根除患者咽部的链球菌。在美园,仍然有大量链球菌感染以及风湿热的流行;在世界上的发展中国家里以及在美国的贫民中,风湿热一直是心脏病的主要原因。
Prudent statistical data show that the incidence of rheumatic fever has declined since the age of the use of antimicrobial drugs but its cause is not known and should not be overly optimistic in estimating this declining trend. And you should not blindly believe that antibiotics are the last resort to solve the rheumatic fever problem. Despite the “adequate” repeated use of penicillin treatment, the patient’s throat streptococcus can not be eradicated. In the park, there is still a large number of streptococcal infections and the prevalence of rheumatic fever; rheumatic fever has been a major cause of heart disease in developing countries throughout the world and in the poor in the United States.