编辑同志: 贵刊1980年第10期刊登的“糖皮质激素在休克中的应用”一文,对糖皮质激素在休克中的作用机理讲述清楚,深入浅出,是篇较好的综述性文章。但在文章中有关糖皮质激素对心血管系的作用方面,别特是其中(三)、(四)二点,讲的是截然相反的作用,所以在作者没有讲明条件的情况下,就会使人提出这样的一个问题,即使用了糖皮质激素治疗休克,它对周围血管的作用究竟是使血管扩张呢?还是使周围血管收缩呢?或者是否二者扩张血管,收缩血管的作用恰好抵消,所以血管也不扩张也不收缩呢?复习有关文献资料,糖皮质激素在使用一般剂量的情况下,对血 Editor comrades: your issue No. 10, 1980 issue of “glucocorticoid in the application of shock,” a paper on the mechanism of action of glucocorticoid in shock clear, easy to understand, is a good summary of the article. But in the article about the effect of glucocorticoids on the cardiovascular system, the special is one (c), (d) two points, talking about the opposite effect, so the author did not specify the conditions of the case People will ask such a question, that the use of corticosteroids in the treatment of shock, its role in the peripheral blood vessels is to make it vasodilative or peripheral vasoconstriction? Or whether the two expansion of blood vessels, the role of blood vessels just contracted Offset, so the blood vessels do not expand or contract? Review of the literature, the use of glucocorticoid in the case of general dose, the blood