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例1 男,42岁。患两中下肺囊状支扩伴感染已4年余,近反复发烧、咳大量臭脓痰,曾联用大剂量青、链、红、洁霉素等效果不明显。经检查符合肺化脓症。痰普通培养阴性,改投灭滴灵0.4g3/日,利福定0.15gl/日,11天后体温正常,痰量减至400ml/日,继服灭滴灵及利福定一个月,痰量约60ml/日,无臭味、复查胸片,炎症已大部分吸收而出院。例2 男,59岁。因急性肺化脓症,给青、链、红、氯、庆大、先锋V及利福定等大剂量抗生素联用,治疗50天症状未能控制。改用灭滴灵0.4g3/日、麦迪霉素0.4g3/日,利福定0.15g2/日,用药3周体温正常,脓痰减少。臭味减轻,5周后转为白粘痰,臭味消失,单服灭滴灵,持续110天,未见副反应,痊愈出院。
Example 1 male, 42 years old. Suffering from the two lung cysts in bronchiectasis with infection more than 4 years, nearly repeated fever, cough, a large number of stupid sputum, had associated with high-dose green, chain, red, lincomycin and other effects are not obvious. After checking consistent with pulmonary suppurative disease. Phlegm common culture negative, to cast metronidazole 0.4g3 / day, rifadin 0.15gl / day, 11 days after normal body temperature, sputum reduced to 400ml / day, following the service metronidazole and rifampin a month, sputum volume About 60ml / day, no odor, review chest, inflammation has been most of the absorption and discharge. Example 2 male, 59 years old. Due to acute pulmonary suppurative disease, giving green, chain, red, chlorine, Qingda, Vanguard V and rifampicin and other high-dose antibiotics combined treatment of 50 days symptoms failed to control. Use metronidazole 0.4g3 / day, midecamycin 0.4g3 / day, rifadin 0.15g2 / day, medication 3 weeks body temperature normal, purulent sputum decreased. Smell reduced, turn white phlegm 5 weeks later, the odor disappeared, single serving metronidazole sustained for 110 days, no side effects, discharged.