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咯血是常见的肺科急症。约1/3—1/2的肺结核病人有咯血。大多数咯血经休息及脯垂体后叶素等药物治疗后可迅速停止,但也有个别病人虽用多种止血药物治疗,咯血仍持续不止,甚至危及生命。因此,治疗顽固性咯血,就成为大家关心的临床问题。我们在用抗结核药物合并激素治疗肺结核病的临床工作中,观察到非但结核中毒症状明显好转,同时咯血也迅速消失,这就促使我们对激素止血的效果作进一步的应用和观察。自71年底到74年6月,我们对多种止血药物疗效不满意的咯血病人22例,给予强的松治疗,获得较满意效果。现将此22例的治疗体会介绍如下:
Hemoptysis is a common pulmonary emergency. About 1 / 3-1 / 2 of tuberculosis patients have hemoptysis. Most of the hemoptysis and pituitary hormone and other drugs after treatment can be stopped quickly, but there are individual patients with a variety of hemostatic drugs, hemoptysis continues, and even life-threatening. Therefore, the treatment of intractable hemoptysis, it has become the clinical problems we care about. In the clinical work of tuberculosis treatment with anti-tuberculosis drugs combined with hormones, we noticed that not only the symptoms of tuberculosis but also the rapid disappearance of hemoptysis have prompted us to further apply and observe the effect of hormone hemostasis. Since the end of 71 to June 74, 22 patients with hemoptysis who were dissatisfied with the effects of various hemostatic drugs were given prednisone treatment to obtain satisfactory results. Now the treatment of 22 cases described below: