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目的:观察一例2型糖尿病患者合并成人Still病临床诊断及治疗方法。方法:选取2014年我院诊治的2型糖尿病患者合并成人Still病患者1例,给予胰岛素皮下注射控制血糖,后据血糖检测情况改为门冬胰岛素30R 12U早晚皮下注射,乳酸左氧氟沙星注射液0.5g,每日一次静点以控制感染治疗,甲泼尼松片40mg每日一次口服,分析患者临床治疗效果。结果:出院前1周体温最高为38.4℃,出院三天后热退,随访2周无发热,无咽痛及关节痛等症状。现甲泼尼松片已减至20mg,每日一次口服。结论:2型糖尿病患者合并成人Still病给予对症治疗效果理想,能有效地改善患者症状,促进患者早期恢复。
Objective: To observe a case of type 2 diabetes patients with Still’s disease clinical diagnosis and treatment. Methods: One patient with type 2 diabetes mellitus complicated with Still’s disease was selected in our hospital in 2014. Subcutaneous injection of insulin was used to control the blood sugar. According to the blood sugar test, insulin aspart 30R 12U was injected subcutaneously in the morning and at night. The levofloxacin lactate injection 0.5g , Once a day to control the infection treatment of static point, 40mg once daily oral methylprednisolone, analysis of clinical efficacy of patients. Results: One week before discharge, the highest body temperature was 38.4 ℃. After three days of discharge, the patients returned to their normal status. No fever, no sore throat and joint pain were observed after 2 weeks of follow-up. A prednisone tablets have been reduced to 20mg, once daily oral. Conclusion: Patients with type 2 diabetes combined with Still’s disease have good symptomatic treatment effect, which can effectively improve the symptoms and promote the early recovery of patients.