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患者女性,14岁。因关节疼痛,而连日口服强地松(每日15～30mg)8个月,总量达6,750mg,骤停1周,失语3天。向心性肥胖,满月脸,红润,毛发密集而细腻,眼窝凹陷,皮肤薄而弹性差,狂躁不安,间断发出单音调似犬吠样声音,不会讲话,球形腹,皮纹粗大,呈暗紫色,肠鸣音减弱,四肢瘦小,肌肉萎缩,松弛无力,触及疼痛,肌腱反射减弱。治疗:促肾上腺皮质激素25单位加葡萄糖盐水500ml,静点1次,同时给予强地松30mg,早晨一次服,及对症治疗,2天后,病人安静,能翻身,可吃流食,4天,下床活动,7天学说话,两周后病人独立讲话。
Patient female, 14 years old. Because of joint pain, even oral prednisone (15 ~ 30mg daily) for 8 months, a total of 6,750mg, a week of arrest, aphasia for 3 days. Centripetal obesity, full moon face, rosy, dense and delicate hair, sunken eyes, thin and elastic skin, manic insensitive, intermittent single tone tone barking like a dog, can not speak, the ball abdomen, rugged skin, dark purple, intestinal Weak beeps, thin limbs, muscle atrophy, weakness, painful touch, weakened tendon reflexes. Treatment: adrenocorticotropic hormone 25 units plus glucose saline 500ml, static point 1 time, given prednisone 30mg, morning service, and symptomatic treatment, 2 days later, the patient was quiet, can stand up, can eat liquid food, 4 days, under Bed activity, 7 days learn to speak, two weeks after the patient speaks independently.