重症矽肺结核系指Ⅱ、Ⅲ期矽肺合并活动性肺结核,多伴有心肺功能不全和/或结核中毒症状,治疗困难,预后不佳。我院1972～1988年对140例病人在抗结核,抗感染基础上,加用小剂量肾皮质激素(以下称激素)治疗。鉴于未见这方面报道,现将该组资料与同期住院97例未用激素病例的对照观察作一分析探讨。 Severe silicosis tuberculosis refers to Ⅱ, Ⅲ silicosis with active tuberculosis, often accompanied by cardiopulmonary dysfunction and / or tuberculosis symptoms, treatment is difficult, the prognosis is poor. Our hospital from 1972 to 1988, 140 patients on the basis of anti-TB, anti-infection, plus a small dose of corticosteroids (hereinafter referred to as hormone) treatment. In view of the absence of reports in this area, the data in this group are compared with the 97 cases of hospitalized patients without hormones in the same period for comparative analysis.