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我院自1978～1991年对1000例上呼吸道感染(URI)伴持续高热病人采取短程静滴氢化可的松(下简称氢可)治疗,取得良好效果。 1 临床资料1.1 一般资料 1000例中男824例,女176例,年龄4～60y。<30y648例,除URI症状外,均伴持续性高热>3d,最长14d(午后高热为主)。个别病例除发热外无任何异常体征。血常规:正常473例,轻度异常416例[WBC(10～13)×10~9/L],明显异常111例(WBCl5×10~9/L);查血沉122例,正常74例,异常48例(26～57mm/h);胸透均未见异常。1.2 给药方法 5％葡萄糖注射液500ml加氢可100～200mg(儿童4～5mg/kg)静滴,1次/d。一般用药1～2d,最多不超过3d,多于午后给药,用量<200mg/d,复用时适当减量。
In our hospital from 1978 to 1991, 1000 cases of upper respiratory tract infection (URI) with persistent high fever patients taking short-term intravenous hydrocortisone (Hydrogen) treatment, and achieved good results. 1 Clinical data 1.1 General Information 1000 cases of male 824 cases, 176 females, aged 4 ~ 60y. <30y648 cases, in addition to URI symptoms, all with persistent high fever> 3d, up to 14d (afternoon heat-based). In addition to fever in some cases without any abnormal signs. Blood routine: normal 473 cases, mild abnormal 416 cases [WBC (10 ~ 13) × 10 ~ 9 / L], 111 cases were significantly abnormal (WBCl5 × 10 ~ 9 / L) Abnormalities in 48 cases (26 ~ 57mm / h); no abnormal chest X-ray. 1.2 Methods of administration 5% glucose injection 500ml hydrogenation 100 ~ 200mg (children 4 ~ 5mg / kg) intravenous infusion, 1 time / d. General medication 1 ~ 2d, up to no more than 3d, more than afternoon administration, dosage <200mg / d, reusing appropriate reduction.