糖皮质激素的临床应用较广,但滥用现象也较多见,主要为:①用药指征选择不严谨:如对诊断不明的发热、身痛、关节炎等滥用激素,结果造成误诊误治;②忽略禁忌症:如对原患有肺结核的血小板减少性紫癜病人,给予口服强的松20毫克/日,应用3周后,病人出现胸闷、气短等症状,胸透发现肺空洞形成,痰涂片发现抗酸杆菌;风湿性关节炎病人长期服用强的松致精神病复发;高血压伴关节炎病人,行局封强的松龙加口服强的松,结果致血压骤升;③剂量疗程不规范:如对急性严重疾病 The clinical application of glucocorticoid is broader, but the phenomenon of abuse is also more common, mainly as follows: (1) the indication of medication is not rigorous: such as the diagnosis of unknown fever, body pain, arthritis and other abuse of hormones, resulting in misdiagnosis and mistreatment; ② ignore the contraindications: If the original suffering from thrombocytopenic purpura patients with tuberculosis, given oral prednisone 20 mg / day, 3 weeks after application, the patient chest tightness, shortness of breath and other symptoms, chest cavity found lung cavity formation, sputum Tablets found acid-fast bacilli; rheumatoid arthritis patients long-term use of prednisone induced mental illness recurrence; patients with hypertension and arthritis, the Bureau of strong prednisolone plus oral prednisone, resulting in sudden increase in blood pressure; ③ dose therapy is not Specification: As for acute serious illness