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目的对老年肺结核合并糖尿病治疗进行相应的分析。方法在确诊老年患者肺结核合并糖尿病以后,其中情况较好的患者应该立即转送到结核病防治机构进行治疗。对于一些情况较差的高危患者,根据患者的情况进行强化治疗,况好转的患者转送到结核病防治机构进行后续的治疗,其中有4例患者由于肝硬化、尿毒症、心力衰竭和脑梗死问题死亡。结果本组45例老年肺结核合并糖尿病患者,有41例结核病灶吸收好转,有38例空洞闭合,患者的血糖量全部控制在7·8mmol/L以下,对治疗的效果较为满意。其中有1例因为合并症死亡,另外有2例因为患者自身的原因放弃了治疗。结论由于老年肺结核合并糖尿病的患者,患病的几率较高,并且病情较重,其传染性较强。因此,对于临床表现发热、咳嗽和盗汗等症状的患者,都应该采用常规的方式,来对患者进行胸部X线检查及痰找结核菌检查,从而有利于早期的发现病情,并对症治疗。
Objective To analyze the treatment of senile pulmonary tuberculosis complicated with diabetes. Methods After diagnosis of pulmonary tuberculosis complicated with diabetes in elderly patients, patients with better conditions should be immediately transferred to TB prevention and treatment institutions for treatment. For some of the poorer, high-risk patients, intensive treatment was performed according to the patient’s condition, and patients with worsening conditions were referred to the TB care unit for follow-up treatment. Four of the patients died of cirrhosis, uremia, heart failure and cerebral infarction . Results 45 cases of elderly patients with pulmonary tuberculosis with diabetes, 41 cases of tuberculosis improved absorption, 38 cases of empty closed, the patient’s blood glucose control in all the 7.8mmol / L or less, the effect of treatment is more satisfactory. One of the patients died of comorbidities and another two gave up treatment because of the patients’ own reasons. Conclusion As elderly patients with tuberculosis and diabetes mellitus, the risk of illness is higher, and the disease is serious, its infectious. Therefore, the clinical manifestations of fever, cough and night sweats and other symptoms of patients, should be used in conventional ways to carry out chest X-ray examination of patients and sputum TB check, which is conducive to the early detection of the disease, and symptomatic treatment.