详阅高医师对“麻疹脑炎及使用激素的疗效问题”一文提出的几点意见后,特作如下答复:1.红霉素之抗菌谱虽不及氯霉素或四环素族等,但较青霉素为广,对其有耐药性者多为肠道革兰氏阴性杆菌。由于它对革兰氏阳性细菌有强大抗菌作用,在革兰氏阴性细菌中具敏感者有百日咳杆菌、流感杆菌、土拉伦斯杆菌、淋病双球菌、脑膜炎双球菌及布氏杆菌等,且红霉素对滴虫、锥虫、利朵体、立克次体等也具一定拮抗作用,故亦有人主张将红霉素列入广谱抗菌素中。2.以往文献中习惯用肾上腺皮质激素一名代表可的松类皮质激素,目前看来确有不当,因前者含义较广,后者仅为其重要组成部分,所以高医师建议在附表中改称可的松类皮质激素的意见是正确的。此外,文中静脉使用者系氢化可的松, Read the high physician on “measles encephalitis and the use of hormones,” the article made a few comments, especially for the following reply: 1. Erythromycin antibacterial spectrum although less than chloramphenicol or tetracycline, but more than penicillin For the wide, mostly resistant to its intestinal Gram-negative bacilli. Because of its strong antibacterial effect on Gram-positive bacteria, Gram-negative bacteria are susceptible to Bordetella pertussis, influenza bacilli, Turens bacteria, gonorrhea, meningococcus and brucellosis, etc., Erythromycin and trichomoniasis, trypanosomes, Li Duo, Rickettsia also has some antagonism, it is also claimed that erythromycin included in the broad-spectrum antibiotics. 2. In the past the habit of using corticosteroids in the literature on behalf of a representative of corticosteroids, it seems indeed improper, because the former a broader meaning, which is only an important part of it, so the high physician suggested in the schedule Called cortisol corticosteroids opinion is correct. In addition, the text of intravenous users of hydrocortisone,