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本文报导二例由于撤离激素所致呼吸窘迫综合征(ARDS)。病例1:女34岁,住院号239219。面部似日光性皮炎、伴关节炎、吞咽困难、四肢无力二个月、血沉25mmH_2o,尿肌酸255mg/24h,LDH275单位,SGPT135单位、胸部X光照像,肺内间质性炎症,肌肉病理诊断为皮肌炎。入院后投与强的松,每日90mg,连用23天,临床症状明显好转,握力增强,全身肌肉不痛,可自由活动,各种化验指标明显改变。入院后第44天开始强的松减为每日40mg,7天后患者突然气短,呼吸急
This article reports two cases of respiratory distress syndrome (ARDS) due to withdrawal of hormone. Case 1: Female 34 years old, hospital number 239219. Facial dermatitis, arthritis, dysphagia, limb weakness for two months, erythrocyte sedimentation rate 25mmH_2o, urine creatine 255mg / 24h, LDH275 units, SGPT135 units, chest X-ray, pulmonary interstitial inflammation, muscle pathology diagnosis Dermatomyositis. Admission of prednisone after admission, 90mg daily, once every 23 days, clinical symptoms improved significantly, grip strength, body muscle pain, freedom of movement, a variety of laboratory indicators significantly changed. On day 44 after admission, prednisone was reduced to 40 mg daily. After 7 days, the patient suddenly had shortness of breath, shortness of breath