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为了探讨喉癌并发糖尿病患者放疗中出现肺部感染的临床特点和治疗方法,回顾性分析66例喉癌并发糖尿病放射治疗肺部感染患者和140例喉癌未并发糖尿病患者的临床资料。并发粮尿病患者放疗过程中有34例(51.52%)出现肺部感染,而140例喉癌未并发糖尿病患者放疗过程中有9例(6.43%)出现肺部感染,经χ2检验,差异有统计学意义,χ2=13.78,P<0.05。临床症状主要表现为发热、咳嗽、咳痰以及肺部啰音。肺部感染应选用敏感抗生素抗炎治疗。初步研究结果提示,喉癌并发糖尿病患者放疗中肺部感染发生率明显增高,应注意控制血糖,预防肺部感染的发生。
In order to investigate the clinical features and treatment of pulmonary infection in patients with laryngeal carcinoma complicated with diabetes mellitus, the clinical data of 66 patients with laryngeal carcinoma complicated with radiation-induced pulmonary infection and 140 patients with laryngeal carcinoma without diabetes were analyzed retrospectively. Pulmonary infection was found in 34 patients (51.52%) during the course of radiotherapy in patients with diabetes mellitus, and in 9 cases (6.43%) of 140 laryngeal cancer patients without diabetes mellitus. There was a significant difference Statistical significance, χ2 = 13.78, P <0.05. Clinical symptoms mainly manifested fever, cough, sputum as well as pulmonary rales. Pulmonary infection should use sensitive antibiotics anti-inflammatory treatment. Preliminary findings suggest that the incidence of pulmonary infection in patients with laryngeal cancer complicated with diabetes mellitus was significantly increased, attention should be paid to control blood sugar, prevent the occurrence of pulmonary infection.