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糖皮质激素(以下简称激素)用于临床已34年。实践证明它在抗炎、抗过敏、免疫抑制、抗毒和抗休克等方面有明显疗效,但也发现了不少副作用。滥用激素导致严重并发症者屡见不鲜。本文拟举类固醇溃疡伴有消化道大出血及急性穿孔者各1例,并结合文献作一讨论。 病例报告 例1黄某,男,30岁,医院化验员。1967年11月中旬,因右侧胸痛数日后继而高热40C。当时,血沉为100mm/h,诊断为风湿热。经抗菌素及强地松(每日30mg)治疗,两天后热
Glucocorticoids (hereinafter referred to as hormones) have been used clinically for 34 years. Practice has proved it in the anti-inflammatory, anti-allergy, immunosuppression, anti-virus and anti-shock and so have significant effect, but also found a lot of side effects. Abuse of hormones lead to serious complications are commonplace. This article intends to give a class of steroid ulcer associated with gastrointestinal bleeding and acute perforation in 1 case, combined with the literature for a discussion. Case report 1 Hwang, male, 30 years old, hospital laboratory technician. In mid-November 1967, a few days after the right side of the chest pain followed by heat 40C. At that time, erythrocyte sedimentation rate was 100mm / h, diagnosis of rheumatic fever. After antibiotics and prednisone (30mg daily) treatment, two days after the heat