What is glucocorticoid shock therapy? When is interstitial pneumonia used?

  The so-called glucocorticoid shock therapy generally refers to unconventional doses of glucocorticoids, such as 500 mg/d or 1000 mg/d for 3-5 days. The daily dose of conventional dose of prednisone (equivalent dose of other hormones) is also 1-1.5 mg/d/kg per kilogram of body weight, and even if the dose needs to be increased in the short term, most of them do not exceed 2-4 mg/d/kg. Shock therapy in idiopathic interstitial pneumonia is mainly used in acute interstitial pneumonia or acute exacerbation of IPF, and although there are guidelines or expert recommendations, the exact efficacy There is also not much evidence-based medical evidence, so it should be especially emphasized that if a patient with idiopathic interstitial pneumonia needs shock therapy, it also means that other treatments are no longer available to solve the problem, and that shock therapy is just a trial, with little hope of survival for the patient, so don’t get your hopes up.