论文部分内容阅读
本文报告2例皮质激素诱发的严重上消化道出血。1例在2yr前有垂体厌色细胞瘤手术史,术后长期用皮质激素替代,此次因肠道感染、中毒性休克住院。住院当日用地塞米松10mg静滴,考虑到垂体-肾上腺轴功能低下,每日用ACTH静滴剂量20U开始,逐渐减量共用10d。另1例因急性一氧化碳中毒,昏迷住院,有高血压史9yr,抢救时用地塞米松每日10mg静滴,共5d,住院d5(第5天)又并发蛛网膜下腔出血。2例分别于入院的d7和d13并发严重上消化道出血,
This article reports 2 cases of corticosteroid-induced severe upper gastrointestinal bleeding. 1 case of pituitary anastomotic surgery before 2yr, long-term replacement with corticosteroids, the intestine infection, toxic shock hospitalization. The day of hospitalization with dexamethasone 10mg intravenous infusion, taking into account hypopituitarism - adrenal axis dysfunction, daily ACTH intravenous infusion dose 20U began to gradually reduce the amount of shared 10d. Another case of acute carbon monoxide poisoning, coma hospital, a history of hypertension 9yr, rescue dexamethasone 10mg daily intravenous infusion, a total of 5d, hospitalized d5 (5th day) and subarachnoid hemorrhage. 2 cases were admitted to the d7 and d13 serious upper gastrointestinal bleeding,