Corticosteroids in the Treatment of Tuberculous Pleural Effusion in Children: Report of One Case

以類固醇輔助治療兒童之結核菌性肋膜積水：一病例報告

廖國裕(Kuo-Yue Liao) ； 鄭欽元(Chin-Yuan Cheng)

《中華民國兒童胸腔醫學會雜誌》 5卷4期 (2008/08) Pp. 35-40

https://doi.org/10.6322/JPRD.200808_5(4).0005

摘要

在青少年和成人的年齡層，結核菌性肋膜積水並非罕見的疾病，目前有許多研究支持以類固醇加上抗結核菌藥物治療可以改善症狀、加速積水吸收、減少肋膜併發症。但是，在兒童方面，這一類的病患並不多見。利用類固醇輔助治療的經驗更是缺乏，本文報告了一位八歲女孩罹患結核菌性肋膜積水，接受類固醇加上抗結核菌藥物治療，迅速改善症狀，使積水清退的治療經驗。

關鍵字

結核病 ； 肋膜積水 ； 類固醇 ； 兒童

並列摘要

Pleural effusion is a common feature of primary pulmonary tuberculosis (TB) in adolescents and adults rather than in young children. Multiple studies in adult support the use of corticosteroids as adjuvant therapy to provide a prompt relief of the symptoms， to hasten absorption of fluid, and to prevent long-term pleural sequela. However, the experience in children is rare. We report a 9 year-old girl of tuberculous pleural effusion who responsed well after receiving the combined regimen of corticosteroids-antituberculous therapy.

並列關鍵字

tuberculosis ； pleural effusion ； corticosteroids ； children