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目的探讨以包皮感染为首发表现的糖尿病患者的临床特点,以发现并准确诊断糖尿病,治愈包皮感染。方法分析总结51例以包皮感染为首发表现的糖尿病患者的皮损、致病微生物、血糖等临床资料。结果包皮过长49例,包茎2例。空腹血糖8.9～15.7mmol/L。包皮分泌物涂片HE染色检查,均有细菌、真菌感染或混合感染。经胰岛素或口服降糖药,口服或静脉滴注抗生素和/或抗真菌药治疗,于血糖正常、包皮感染控制后行包皮环切术。51例均治愈,随访半年无复发。结论对以包皮感染为首发症病状,无明显症状(三多一少)的患者,不应忽视血糖的检查,否则易造成对糖尿病的误诊、漏诊,包皮感染也不能彻底治愈。
Objective To investigate the clinical features of diabetic patients with prepuce infection as the first manifestation to find and accurately diagnose diabetes and cure foreskin infection. Methods The clinical data of 51 cases of skin lesions, pathogenic microorganisms, blood glucose and other clinical manifestations of diabetes mellitus patients with prepuce infection were summarized and analyzed. 49 cases of prepuce results, phimosis in 2 cases. Fasting glucose 8.9 ~ 15.7mmol / L. Foreskin secretion smear HE staining examination, are bacteria, fungal infections or mixed infection. Insulin or oral hypoglycemic agents, oral or intravenous antibiotics and / or antifungal therapy, in the normal blood sugar, foreskin circumcision circumcision after infection control. 51 cases were cured, no recurrence six months follow-up. Conclusion In patients with foreskin infection as the first symptom, no obvious symptoms (more than three less), should not ignore the examination of blood glucose, otherwise easily lead to misdiagnosis of diabetes, missed diagnosis, foreskin infection can not be completely cured.