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读了《医师进修杂志》1983年第2期王永祥医师“对GPT升高的肺结核服异烟肼、利福平问题的探讨”一文后,很受启发,每当遇有GPT升高的结核病例时,想投服或继服异烟肼、利福平时,常感到辣手。王医师通过总结102例在服抗结核药之前或后,出现过GPT升高的各型、各期肺结核治疗经过,特别是对于先有GPT升高而结核病又急需应用异烟肼、利福平者,我们以往疑虑很多。但对结核中毒或异烟肼、利福平引起的GPT升高在100~300单位时,继续联用异烟肼,利福平是安全的结论,我们认为似欠妥当。对此想谈
After reading The Physician’s Training Journal, No. 2, 1983, by Dr. Wang Yongxiang, “Discussion on Isoniazid and Rifampicin in Tuberculosis with Elevated GPT”, it was very much inspired. Whenever there was a case of TB with elevated GPT When, want to vote for or follow suit isoniazid, rifampicin, often feel hot hands. By summarizing the 102 cases before and after serving anti-TB drugs, there have been various types of elevated GPT, various stages of treatment of pulmonary tuberculosis, especially for the first GPT increased tuberculosis and the urgent need for isoniazid, rifampicin We have a lot of doubts in the past. However, for TB poisoning or isoniazid, rifampin-induced increase in GPT 100 to 300 units, continue with isoniazid, rifampin is safe conclusion, we think it seems inappropriate. Want to talk about this