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儿童深部真菌感染的治疗
引用本文:黄延风,杨烈利,朱朝敏.儿童深部真菌感染的治疗[J].儿科药学杂志,2005,11(3):24-25.
作者姓名:黄延风  杨烈利  朱朝敏
作者单位:1. 重庆医科大学附属儿童医院,重庆,400014
2. 重庆市渝北区人民医院,重庆,401120
摘    要:目的:探讨儿童深部真菌感染的治疗。方法:回顾性分析14例经病原学检查确诊的儿童深部真菌感染的临床资料。结果:14例患儿中11例为新隐球菌脑膜炎,3例为新隐球茵全身感染;13例给予抗真菌治疗,其中2例单用氟康唑(F1u),另11例用二性霉素B(AMB)或脂质体二性霉素B(L-AMB)联合氟康唑或5-氟胞嘧啶(5-FC),3例治愈。7例好转。结论:新隐球菌是儿童深部真菌感染的常见病原,AMB联合5-FC或Flu是治疗儿童深部真菌感染的主要方案。

关 键 词:深部真菌感染  儿童:二性霉素B
文章编号:1672-108X(2005)03-0024-02
修稿时间:2005年3月25日

The treatment of deep fungal infections in children
HUANG Yan-feng,YANG Lie-li,ZHU Chao-min.The treatment of deep fungal infections in children[J].Journal of Pediatric Pharmacy,2005,11(3):24-25.
Authors:HUANG Yan-feng  YANG Lie-li  ZHU Chao-min
Abstract:Objective: To investigate treatment in children with deep fungal infections (DFI). Methods: A retrospective analysis was performed on the clinical data of 14 patients with deep fungal infections. Results: Among 14 cases, there were 11 cases with cryptococcal meningitis and 3 cases with systemic cryptococcosis; 13 cases were treated with antifungal therapy, fluroconazole(Flu) was used alone in 2 cases, amphotericin B (AMB) or liposome amphotericin (L-AMB) combined with Flu or 5-FC in 11 cases, and 3 cases were cured, 7 cases were relieved. Conclusion: The main pathogenic fungal species are cryptococcus, and AMB combined with Flu or 5-FC is effective types in treating DFI.
Keywords:Deep fungal infections  Child  AMB
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