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作者6年间在门诊临床诊断为中心性浆液性脉络膜视网膜病变(Central Serous Chorioretinopathy)204例,其中选出曾经用类固醇全身治疗者14例及未经治疗之对照组26例。14例中之5例系因其他疾病接受大剂量类固醇治疗而发生CSC,此中3例过去有CSC史。发生CSC之5例病人所用剂量相当于强地松龙每日20mg共8天。此中3例在减低强地松龙之剂量后,可见CSC完全缓解,浆液性脱离消失。在2例中,经对荧光素之渗出位置作光凝固后,出现缓解。其他9例CSC亦经全身性类固醇治疗;其中
The author was clinically diagnosed as having central Serous Chorioretinopathy in 204 outpatients during 6 years, of which 14 were treated with systemic steroids and 26 untreated controls. Five of the 14 patients developed CSC because of other diseases treated with high-dose steroids, of which 3 had CSC history in the past. The dose of 5 patients who developed CSC was equivalent to prednisolone 20 mg daily for 8 days. Among the 3 cases, the dose of prednisolone was decreased, and CSC was completely relieved and the serous detachment disappeared. In 2 cases, remission occurred after photocoagulation of fluorescein exudation site. Nine other CSCs were also treated with systemic steroids;