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肺结核的强化治疗中,可能出现暂时恶化现象。从临床观察,继续抗痨治疗是完全可以治愈的。现将我院发现的3例报告如下。例1:患者男,19岁,住院号6332。因发热、咳嗽、盗汗月余,于1983年6月12日入院。体检:体温37.5℃。心肺(一)。胸片示:右中肺野外带见片絮状阴影,并有1×1.5cm的稀疏区。痰结核菌(+)。入院后给予链霉素、异菸肼、利福平、乙胺丁醇治疗。10天后复查,胸片示:右肺病灶如前,双侧胸膜炎。胸穿三次,均抽到淡黄色胸水。继续按原方案治疗,并加用强的松。8月6日拍片复查,右肺病灶明显吸收,双侧肋膈角变钝。1984年1月6日复查胸片,灶病完全吸收,双侧肋膈角锐利。
Intensive treatment of tuberculosis, temporary deterioration may occur. From the clinical observation, continued anti-tuberculosis treatment is completely curable. Now found in our hospital 3 cases are as follows. Example 1: Patient Male, 19 years old, hospital number 6332. Due to fever, cough, night sweats more than, in June 12, 1983 admission. Physical examination: body temperature 37.5 ℃. Heart and lung (a). Chest X-ray showed: the right lung in the field to see the film flocculus shadows, and 1 × 1.5cm sparse area. Mycobacterium tuberculosis (+). Admitted to hospital after streptomycin, isoniazid, rifampin, ethambutol treatment. 10 days after the review, chest X-ray showed: right lung lesions such as the former, bilateral pleurisy. Thorax wear three times, were drawn to light yellow pleural effusion. Continue to treat according to the original plan, and add prednisone. August 6 film review, the obvious absorption of the right lung lesions, bilateral costachmary dull horn blunt. January 6, 1984 review chest, stove disease completely absorbed, bilateral costophrenic sharp edge.