毛细血管瘤和海绵状血管瘤多半在生后不久即被发现,3～6个月迅速增大,到5岁左右有自然消退的倾向。在伴有机能障碍和增长很大成为美容上的问题时,过去应用放射线、硬化剂、冰冻和外科切除等方法治疗。但这些治疗方法各有优缺点,将来多影响美容,所以已往对此等疾患,在生后3～6个月到3岁期间多半不加治疗,观察到3～5岁,以期待它自然消退。 1967年Zarem和1973年Lasser曾报告过用皮质类固醇激素治疗血管瘤的方法。最近本文作者应用倍他米松口服治疗血管瘤,收到非常良好的治疗效果。治疗方法及对象:口服的皮质类固醇激素为倍他米松,对全部病例的初次用量为0.5毫克,以后采用每隔2周减0.1毫克的渐减法,根据症状可延长逐渐减量期间。本文作者的病例,治疗时期最短1周最长11个月,口服8周以后的病例,全部采用口服0.1毫克的维持量。治疗开始年龄,作者的病例为生后一个月到2岁6个月。 Capillary hemangiomas and cavernous hemangiomas are mostly found shortly after birth, 3 to 6 months increased rapidly, to the age of 5, there is a natural tendency to subside. In the past with radiation, sclerosing agents, freezing and surgical resection, the treatment of dysfunction and growth has become a cosmetic problem. However, these treatments have their own advantages and disadvantages, which will affect their beauty. Therefore, in the past, most of these illnesses were treated without treatment for 3 to 6 months to 3 years after birth, and 3 to 5 years old were observed, . Zarem in 1967 and Lasser in 1973 reported the use of corticosteroids in the treatment of hemangiomas. Recently, the authors applied betamethasone oral treatment of hemangiomas, received a very good therapeutic effect. Treatment Methods and Subjects: Oral corticosteroids were betamethasone, with an initial dose of 0.5 mg for all cases, followed by a gradual reduction of 0.1 mg every two weeks, according to which symptoms may be extended during the tapering period. The authors of the case, the treatment period of at least 1 week up to 11 months, oral administration of 8 weeks after the case, all with 0.1 mg oral maintenance. The starting age of treatment, the author’s case of one month after birth to 2 years and 6 months.