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著者报导9例重症肌无力应用强地松治疗的结果。其中包括一例严重而迅速发展的患者(例1)获得良好而持久的缓解。共治疗6—25个月。强地松应用方法是,例1每晨服100毫克,其他则隔日早晨服100毫克。但有两例慢性不缓解的病人,有时改为每日或每12小时服一次(例6、7)。对治疗反应好的,维持量为隔日服50—70毫克。病人仍服用原来的新斯的明、吡啶斯的明或阿伯农,以免插管和辅助呼吸。如改善迅速,即减少剂量,以免发生胆碱性危象,一般减少一半剂量。这9例在治疗前,有6例病情严重,(例1—5
The authors report the results of 9 cases of prednisone treated with myasthenia gravis. Including a case of serious and rapidly developing patients (Example 1) to obtain good and lasting relief. A total of 6-25 months of treatment. Prednisone application method is, Example 1 100 mg per serving for the morning, the other morning 100 mg serving. However, two patients with chronic non-remission, sometimes changed to daily or once every 12 hours (cases 6,7). Response to treatment is good, to maintain the amount of 50-70 mg for the next day. The patient is still taking the original neostigmine, pyridostigmine or aronon to avoid intubation and assists in breathing. If rapid improvement, that is, to reduce the dose, so as to avoid cholera crisis, the general reduction of half the dose. The nine cases before treatment, six were in serious condition (Example 1-5