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自发性气胸被认为是活动性肺结核的并发症之一,在抗痨药物应用以前,80—90%成人和40—50%儿童的自发性气胸是肺结核所引起。自抗痨药物应用后,肺结核引起的自发性气胸是非常少见的。近年来,肾上腺皮质类激素应用于结核病,有人报告强地松治疗肺结核可招致自发性气胸,自 Brocarde 等于1956年报告1例后,已有十余例见于国外文献。本院最近用强地松治疗粟粒型肺结核病儿,有2例在治疗过程中发生自发性脓气胸,不久即死亡,这是值得重视的,故报告于下:
Spontaneous pneumothorax is considered to be one of the complications of active tuberculosis, and spontaneous pneumothorax in 80-90% of adults and 40-50% of children is caused by tuberculosis before anti-tuberculosis drug use. Since anti-tuberculosis drug application, pulmonary tuberculosis caused by spontaneous pneumothorax is very rare. In recent years, adrenal cortex hormones used in tuberculosis, it was reported that prednisone treatment of pulmonary tuberculosis can cause spontaneous pneumothorax, since Brocarde equal to 1 case reported in 1956, more than 10 cases have been found in foreign literature. Our hospital recently treated prednisone with miliary tuberculosis, 2 cases of spontaneous pus pneumothorax occurred during the treatment, and soon died, it is worth attention, so the report is as follows: