论文部分内容阅读
当今治疗 Crohn 氏病常用偶氮磺胺吡啶(SASP)、强地松、灭滴灵及硫唑嘌呤。本文报道1例在用 SASP、强地松不能控制体温的情况下,改用阿斯匹林而获得较长时间的稳定。患者,男,67岁。1980年6月始不明原因发热37.6～39.5℃,不伴其他症状。检查除肝大2指,抗“O”1:800,血沉20～40mm/hr 外,无结核、肿瘤、感染等方面的症状和体征。在反复应用多种抗菌素及正规抗痨均无效情况下服用阿斯匹林五次,均于投药后翌日直至停药后5～7天体温获得正常。发病后一年半 X 线显示回肠末端稍窄,粘膜粗,可疑瘘
Of the current treatment of Crohn’s disease commonly used sulfasalazine (SASP), prednisone, metronidazole and azathioprine. This article reports a case of SASP, prednisone can not control the body temperature, the switch to aspirin and obtain a longer period of stability. Patient, male, 67 years old. June 1980 unknown cause fever 37.6 ~ 39.5 ℃, without any other symptoms. Check in addition to liver 2 fingers, anti “O” 1: 800, erythrocyte sedimentation rate 20 ~ 40mm / hr, no tuberculosis, cancer, infection and other aspects of the symptoms and signs. In the repeated use of a variety of antibiotics and formal anti-痨 were ineffective aspirin taken five times, were administered the day after injection until 5 to 7 days after withdrawal of body temperature to be normal. Year and a half after the onset of X-ray showed a narrow distal ileum, mucosal thick, suspicious fistula