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患者女,61岁。右手拇指因持剪活动过度,局部酸胀乏力,活动时疼痛,压痛明显,诊断为“右拇指屈指肌腱炎”,给强的松龙25mg加上1％普鲁卡因1.5ml,作痛点封闭治疗。注射后,当日晚上解夜尿10余次,此后一直尿频量多,疲乏无力。1周后再次来院行局封治疗,见其精神萎糜,面色灰黄、消瘦,追问病史,知其原有血糖高史,尚无明显不适症状,未曾用药治疗,体重56kg左右。即给以检验血糖为12.3mmol/L,称体重52.5kg,予以停用强的松龙注射,转内分泌科治疗。 讨论:强的松龙,又名1-烯氢化可的松,是一种肾上腺皮质激素,具有抗炎作用,常用剂量为12.5和
Female patient, 61 years old. The right thumb due to excessive scissors exercise, local soreness, pain, tenderness activities, diagnosed as “right thumb flexor tendonitis” to give prednisolone 25mg plus 1% procaine 1.5ml, for pain points closed treatment. After injection, the night nocturnal solution of nocturnal urine more than 10 times, since then have frequent urination, fatigue and weakness. 1 week after the hospital bureau seal treatment again, see the spirit of wilting, pale yellow, weight loss, history, history of their original high blood sugar, no obvious symptoms, no medication, weighing about 56kg. That is given to test the blood glucose 12.3mmol / L, weighing 52.5kg, to be discontinued prednisolone, turn endocrine treatment. Discussion: Prednisolone, also known as 1-ene hydrocortisone, is an adrenocorticotropic hormone with anti-inflammatory effects and is commonly used in doses of 12.5 and