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本所自1987年以来,共收治糖尿病并发肺结核167例,其中死亡18例,病死率为10.7％。死亡的18例中,低血糖者7例,酮中毒2例,肺心病心衰者3例,咯血窒息4例,全身衰竭2例。 1 抗结核药物问世前,并发糖尿病的肺结核患者病死率较单纯肺结核病人高8倍,抗结核药物问世后仅高2倍,且死亡病例均系化疗不充分者。本文报告死于肺心病心衰、咯血窒息、全身衰竭共9例患者,生前化疗均不充分。 2 自胰岛素应用于临床以后,由酮中毒和高张性脱
Since 1987, a total of 167 cases of pulmonary tuberculosis complicated by diabetes have been admitted to our hospital, of which 18 died and the case fatality rate was 10.7%. Of the 18 deaths, 7 were hypoglycaemia, 2 were ketone poisoning, 3 were heart failure with cor pulmonale, 4 were hemoptysis asphyxia and 2 were systemic failure. Before the advent of anti-TB drugs, patients with diabetes complicated with tuberculosis had a mortality 8 times higher than those with tuberculosis alone and only 2 times more after the anti-TB drugs came out. All the deaths were caused by inadequate chemotherapy. This article reports the death of heart failure due to cor pulmonale, hemoptysis asphyxia, systemic failure in a total of 9 patients before birth, chemotherapy are not sufficient. 2 Since the insulin used in clinical after the ketone poisoning and hyper tension off