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1978年10月～1980年6月,我院门诊治疗慢性阿米巴痢疾22例.一般资料性别与年龄:男15例,女7例;年龄最小者5岁,最大者70岁;其中儿童7例,成人15例.病程:短者6个月,长者8年,其中2年以内9例,2～8年13例。症状及合并症:腹泻每日2～6次者20例,10 次以上者2例.脓血便19例,粘液便1例,糊便2例.左小腹及下腹部隐痛8例,里急后重9例。合并营养不良1例,食道及胃出血1例,结直肠溃疡19例.治疗对象:大便化验、乙状镜检或病理活检阳性者为治疗对象。治疗方法病人全部服灭滴灵每天3次,每次400毫克,连服21天.并服柳氮磺胺吡啶(SASP)每日4次,每次0.5克,维持6个月～1年.其中16例(无结直肠溃疡3例)除口服灭滴灵和 SASP外,又加服强的松每次10～15毫克,每日3次,连服7～10天;然后减至每日2次,每次10～15毫
From October 1978 to June 1980, 22 outpatients were treated for chronic amebic dysentery in our hospital.General information Sex and age: 15 males and 7 females, the youngest was 5 years old and the oldest was 70 years old.Among them, children 7 Cases, 15 cases of adult. Course of disease: a short 6 months, the elderly for 8 years, of which 9 cases within 2 years, 2 to 8 years in 13 cases. Symptoms and complications: diarrhea 2 to 6 times daily in 20 cases, 10 times in more than 2 cases of pus and blood in 19 cases, mucus in 1 case, paste 2 cases of left lower abdomen and lower abdominal pain in 8 cases, tenesmus and severe in 9 cases . One case of malnutrition, esophageal and gastric hemorrhage in 1 case, 19 cases of colorectal ulcer treatment subjects: stool test, microscopy or biopsy positive for the treatment of patients. Treatment All patients taking metronidazole metronidazole 3 times a day, 400 mg each, and even served 21 days and served sulfasalazine (SASP) 4 times a day, each 0.5 grams, for 6 months to 1 year. 16 cases (no colorectal ulcer in 3 cases), in addition to oral metronidazole and SASP, plus strong prednisone 10 ~ 15 mg, 3 times a day, and even for 7 to 10 days; then reduced to 2 Times, each 10 ~ 15 milliliters