我们自1997年2月至2000年12月对经综合治疗仍不能有效控制的难治性肺结核咯血,试用氢化考的松来控制咯血,观察20例,疗效较好,现报道如下: 1 临床资料 1.1 本组病例均符合全国结核病会议制定的诊断及分型标准,其中男13例,女7例,年龄最小19岁,最大76岁,平均45.5岁 其中Ⅲ型14例,Ⅳ型6例;初治15例,复治5例;抗酸杆菌阴性16例,阳性4例。有禁忌症改治后效果不佳3例,其中原发性高血压病 We from February 1997 to December 2000 on the comprehensive treatment of refractory pulmonary tuberculosis can not effectively control the hemoptysis, the trial of hydrocortisone to control hemoptysis, observed in 20 cases, the effect is better, are reported as follows: 1 clinical data 1.1 The group of patients are in line with the diagnosis and classification criteria set by the National Tuberculosis Meeting, including 13 males and 7 females, the youngest 19 years old, the largest 76 years old, with an average of 45.5 years of age Ⅲ type 14 cases, Ⅳ type 6 cases; Governance in 15 cases, retreatment in 5 cases; acid-fast bacilli negative in 16 cases, 4 cases were positive. There are 3 cases of contraindications after treatment, including primary hypertension