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目的:总结112例糖尿病合并肺结核的临床表现及诊治。方法:分析2007年-2012年我科收治的112例糖尿病合并肺结核患者一般资料与临床资料,包括疾病诊断顺序、临床表现、影像学表现、细菌学检查、治疗等。结果:先发现糖尿病后发现肺结核79例(70.54%);咳嗽、咳痰92例(82.14%);病灶累及两个及两个以上个叶段101例(90.18%),多发空洞40例(35.71%);痰结核菌培养阳性41例(36.61%);血糖被控制在理想水平(FBG<8mmol/L)的95例患者中,肺结核病灶吸收好转87例(91.58%),而血糖控制不理想的17例患者中,7例病灶吸收好转(41.18%)。结论:由于糖尿病与肺结核的相互影响,二者同时存在时病情往往较单发时难以控制,治疗上也相互影响,对于青中年糖尿病患者,应予以高度重视。
Objective: To summarize the clinical manifestations and diagnosis and treatment of 112 cases of diabetes complicated with pulmonary tuberculosis. Methods: The data and clinical data of 112 patients with diabetes mellitus complicated with pulmonary tuberculosis admitted from 2007 to 2012 in our department were analyzed, including the sequence of disease diagnosis, clinical manifestations, imaging findings, bacteriological examination and treatment. RESULTS: Totally 79 cases (70.54%) of pulmonary tuberculosis were found after diabetes mellitus, 92 cases (82.14%) were cough and expectoration, 101 cases (90.18%) were involved in two or more leaf segments and 40 cases %). Among the 95 patients whose blood glucose was controlled at the ideal level (FBG <8mmol / L), tuberculosis lesions improved in 87 patients (91.58%), while the control of blood glucose was not satisfactory Of the 17 patients, 7 had better recovery (41.18%). Conclusion: Due to the mutual influence of diabetes and tuberculosis, the condition is often difficult to control when compared with solitary disease and the treatment also affects each other. For young middle-aged diabetic patients, it should be given high priority.