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长期应用皮质激素,可抑制人体免疫反应,使机体防御机能降低,从而诱发结核菌感染,甚至造成严重的不良后果。我们遇到3例,报告如下:例1:患儿男,4个月,因鼻塞流涕伴发热,本村医生给予庆大霉素4万 u 及氟美松2mg 肌注,每日2次,10天后烧退停药。5天后患儿突然高烧,轻咳,体温达40℃左右,稽留热,在当地卫生院给予青霉素及洁霉素肌注20天无效而来我院。否认结核病接触史。查体:T40℃,口唇发绀,呼吸浅促,前囟未闭,凹陷。颈软,双肺呼吸音粗,心率148次/min,腹软,肝于右肋下及边,脾不大,脑膜刺激征阴性。辅助检查:胸片示双肺弥漫性小结节状阴
Long-term use of corticosteroids, can inhibit the body’s immune response, reducing the body’s defensive function, thus inducing tuberculosis infection, and even cause serious adverse consequences. We encountered three cases, the report is as follows: Example 1: children with male, 4 months, due to nasal congestion and runny nose fever, the village doctor was given gentamicin 40,000 u and 2 mg intradermic dexamethasone 2 times a day, Ten days after the burn withdrawal withdrawal. 5 days after the sudden onset of high fever in children, light cough, body temperature of about 40 ℃, missed the heat in the local hospitals penicillin and imycin intramuscular injection of 20 days invalid to our hospital. Denied the history of tuberculosis exposure. Physical examination: T40 ℃, lips cyanosis, shallow breathing, anterior fontanel not closed, depression. Neck soft, breath sounds thick lungs, heart rate 148 beats / min, abdomen soft, liver in the right rib and side, spleen is not large, meningeal irritation sign negative. Auxiliary examination: chest radiograph showed diffuse small nodular yin