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目的对糖尿病合并肺结核患者的临床表现以及对影像学诊断进行探讨。方法选取我院在2014年11月—2016年11月收治的260例糖尿病合并肺结核患者进行分析,给予所有患者摄DR胸部正侧位片,给予50例患者行CT检查。结果 X线表现是:260例患者存在大片状以及多发小片融合性高密度阴影且部分患者存在中心密度浓以及边缘模糊浅淡,存在空洞、合并胸腔积液、粟粒状弥漫结节影;CT表现基本类似于X线表现。结论 260例患者起病迅速、存在明显的消瘦乏力症状,发热程度与患者肺部病变程度存在不一致性,伴随咳嗽和咳痰、咯血等临床症状,影像学表现均为复杂。
Objective To investigate the clinical manifestations of diabetic patients with pulmonary tuberculosis and its imaging diagnosis. Methods A total of 260 patients with diabetes mellitus complicated with pulmonary tuberculosis admitted to our hospital from November 2014 to November 2016 were selected for analysis. CT scan was performed in 50 patients undergoing DR chest lateral radiography. Results The X-ray findings were: 260 patients with large and multiple small pieces of fusion high-density shadows and some patients with central density and edge blurred, there is empty, combined with pleural effusion, miliary diffuse nodules; CT Performance basically similar to the X-ray performance. Conclusion 260 cases of patients with rapid onset, there is obvious symptoms of weight loss, fever and lung disease in patients with varying degrees of inconsistency, with cough and sputum, hemoptysis and other clinical symptoms, imaging findings are complicated.