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目前,临床治疗中,醋酸强的松龙局部注射的滥用现象较严重。作者就近年来遇见用强的松龙局部注射并发感染的12例报告如下,以期引起重视。本文12例中,男9例,女3例。局部注射一般应用强的松龙25~50mg(1~2ml),加1%或2%普鲁卡因1~5ml不等。12例中最少注射一次后即发生感染,最多在短期内注射6次后发生感染。11例在注射后1~5天发生感染,1例在注射后2周发生感染。发病后局部注射处红、肿、痛、热。局部肿块2例;局部脓肿8例;2例形成化脓性关节炎,其中1例伴有骨髓炎。12例全身均有不同程度发热,血白细胞总数和中性升高,血沉加快。治疗一般采用患肢局部制动。抗
Currently, clinical treatment, prednisolone acetate injection of more serious abuse. In recent years, the authors met with the report of 12 cases of concomitant infection with prednisolone injection as follows, in order to attract attention. In this paper 12 cases, 9 males and 3 females. General injection of prednisolone 25 ~ 50mg (1 ~ 2ml), plus 1% or 2% procaine 1 ~ 5ml range. Infections occurred after at least one injection in 12 cases, with up to 6 injections in the short term. Eleven patients developed infection 1 to 5 days after injection and 1 patient developed infection 2 weeks after injection. Local injection after the onset of red, swollen, pain, heat. 2 cases of local mass; local abscess in 8 cases; 2 cases of suppurative arthritis, 1 case of osteomyelitis. 12 cases of different degrees of systemic fever, the total number of leukocytes and the neutral increase, ESR faster. Treatment of limbs generally use the local brake. anti-