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糖尿病与结核病常常合并存在,相互间有不良影响,互为因果关系,在肺科临床工作中较为常见,如能及时诊断并积极治疗,其预后仍会获得较好的效果。现将我院1988年8月至1998年7月期间收治的819例肺结核患者中合并糖尿病的26例进行临床分析。1 临床资料1.1 一般资料 26例中,男17例,女9例,年龄25～?4岁,50岁以上19例。根据中华医学会1998年结核病分类法,26例均为继发型肺结核。Ⅰ型糖尿病1例,Ⅱ型糖尿病24例,糖耐量异常1例。两病并发时糖尿病病情分型:轻型1例;中型12例;重型4例。糖尿病先于肺结核者13例,肺结核先于糖尿病者5例,两病同时发现者8例。合并煤工尘肺4例。
Diabetes mellitus and tuberculosis often co-exist, with adverse effects on each other, mutual causation, in the clinical work of the lung is more common, if timely diagnosis and active treatment, the prognosis will still get better results. Now in our hospital from August 1988 to July 1998 period of 819 patients with tuberculosis in patients with diabetes mellitus in 26 cases for clinical analysis. 1 Clinical data 1.1 General Information 26 cases, 17 males and 9 females, aged 25 ~ 4 years old, 19 cases over the age of 50. According to the Chinese Medical Association Tuberculosis Classification in 1998, 26 cases were secondary to tuberculosis. 1 case of type 1 diabetes mellitus, 24 cases of type 2 diabetes and 1 case of impaired glucose tolerance. Diabetes when the two diseases complicated by sub-type: 1 case of light; 12 cases of medium-sized; 4 cases of heavy. 13 cases of diabetes preceded tuberculosis, 5 cases of tuberculosis preceded diabetes, and 8 cases were found to have both diseases at the same time. Coal mine workers combined pneumoconiosis in 4 cases.