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目的了解阿克苏就诊梅毒患者一期、二期梅毒转归。方法采用苄星青霉素240万u肌注,每周1次,连续3周。以临床治愈和血清学治愈作为治愈的判断标准,并定期进行监测RPR。结果60例早期梅毒治疗效果证实:其中硬下疳和皮损在1周内消退有6例(10%),2周内消退30例(50%),3周消退15例(25%),4周消退5例(8.3%)。RPR 3个月转阴11例(18.3%),6个月转阴30例(50%),9个月转阴8例(13.3%),12个月转阴5例(8.3%),18个月转阴1例(1.7%)。结论阿克苏市属于梅毒高发区,对患者采取早期诊断,采用正规抗梅治疗和药物剂量足量治疗,可使Ⅰ、Ⅱ期梅毒患者皮肤损害达到愈合,梅毒血清学试验RPR、脑脊液在2年内转阴,达到治愈标准。
Objective To understand the outcome of syphilis in Aksu patients with stage I and stage II syphilis. Methods Benzylpenicillin 2.4 million u intramuscular injection, once a week, for 3 weeks. To clinical cure and serological cure as a cure criteria, and regular monitoring of RPR. Results The results of 60 cases of early syphilis confirmed that 6 cases (10%) were subsided in 1 week, 30 cases (50%) subsided in 2 weeks, 15 cases (25%) subsided in 3 weeks, 4 Week subsided in 5 cases (8.3%). There were 11 cases (18.3%) in RPR 3 months, 30 cases (50%) in 6 months, 8 cases (13.3%) in 9 months and 5 cases (8.3% Month negative in 1 case (1.7%). Conclusion Aksu belongs to the high incidence area of syphilis. Early diagnosis of the patients is adopted. With formal anti-plum treatment and adequate dose of medicine, skin lesions of patients with stage Ⅰ and Ⅱ syphilis can be healed. RPR of syphilis serology, Overcast, to cure.