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因误诊而不恰当地使用肾上腺糖皮质激素(下称激素)可引起多种并发症,甚至危及生命。现报告因误诊而滥用激素致肺结核扩散2例,其中造成死亡1例,应引以为戒。例1:男,62岁。因咳喘十余年,加重7天后去本市某职工医院就诊,以“慢性支气管炎并感染,肺气肿”收住院。给予抗生素,止咳、平喘、化痰剂等治疗1周后效果不著,随加用氟美松15毫克/日静滴。两周后咳喘无明显减轻,咳痰带血,体质日趋消瘦,因
Due to misdiagnosis and improper use of glucocorticoid (hereinafter referred to as hormones) can cause a variety of complications, and even life-threatening. It is reported that misdiagnosis and abuse of hormones caused by pulmonary tuberculosis in 2 cases, of which 1 case of death, should be used as a warning. Example 1: Male, 62 years old. Due to cough and asthma more than ten years, seven days later to go to a worker hospital in the city for treatment, “chronic bronchitis and infection, emphysema,” admitted to hospital. Give antibiotics, cough, asthma, phlegm and other treatment after 1 week ineffective, with the addition of dexamethasone 15 mg / day intravenous infusion. Two weeks after cough and no obvious relief, cough and blood, physical weight loss, due to