论文部分内容阅读
肾上腺皮质激素(以下简称激素)能抗炎、抗毒、抗过敏及抑制纤维组织增生,在有效抗病药物控制下,并用于重症结核病,可以减轻中毒症状,加快渗出性病变或浆液的吸收,防止粘连,已为人们所公认。然而它毕竟是一种免疫抑制剂,用之不当,即使在强力化疗下也会带来不虞,招致病灶恶化或播散。1981年到1985年间,我院收治的42例血行播散型肺结核患者中,17例并用了激素治疗,其中3例在使用利福平加激素的治疗阶段出现病灶恶化或播散,现报告如下,并就诊断、发生机制及防治措施作一初步探讨。病例介绍例1 张某,女,56岁,住院号8926。因发热、盗汗、乏力、消瘦、纳差2月于1983年3月15日入院。OT(5u—10u)阴性,痰集
Corticosteroids (hereinafter referred to as hormones) can be anti-inflammatory, anti-drug, anti-allergy and inhibition of fibrous tissue proliferation, effective disease control drugs and for severe tuberculosis, can reduce the symptoms of poisoning and expedite the exudative lesions or serous absorption , To prevent adhesion, has been recognized by people. However, after all, it is an immunosuppressive agent, improper use, even under intense chemotherapy will bring no fear, leading to deterioration or spread of lesions. From 1981 to 1985, 42 cases of hematogenous disseminated pulmonary tuberculosis admitted to our hospital were treated with hormone therapy. Three of them were exacerbated or disseminated during the treatment with rifampicin plus hormone. They are reported as follows , And made a preliminary discussion on diagnosis, mechanism and prevention and treatment measures. Case introduction Zhang 1, female, 56 years old, hospital number 8926. Due to fever, night sweats, fatigue, weight loss, anorexia February on March 15, 1983 admission. OT (5u-10u) negative sputum