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糖尿病与感染是相互影响的两组疾病。败血症为一严重急性感染,如与糖尿病并存则病情迅速恶化,故应予重视。本院1979～1991年的13年间确诊糖尿病合并败血症共8例,占同期败血症患者的10.8％。现分析报道如下。 1 一般资料 1.1 临床资料见附表。 1.2 糖尿病合并败血症的治疗 1.2.1 败血症的治疗 8例均静点抗生素,其中7例采用4种以上抗生素联合交替静点,疗程21～84 d,平均53d(1例死亡者除外)。 1.2.2 糖尿病的治疗未合并败血症前,1例口服降糖药,2例用胰岛素治疗;合并败血症后,8例均用普通胰岛素(RI)控制血糖,RI用量平均77u/d,感染
Diabetes and infections are two groups of diseases that affect each other. Sepsis is a serious acute infection, such as the coexistence of diabetes and the rapid deterioration of the disease, it should be taken seriously. In our hospital from 1979 to 1991, 13 cases were diagnosed with diabetes mellitus septicemia in 8 cases, accounting for 10.8% of patients with sepsis in the same period. Now analysis reports as follows. 1 General Information 1.1 Clinical Information See Schedule. 1.2 Treatment of Diabetes Mellitus Septicemia 1.2.1 Treatment of sepsis 8 cases were intravenous antibiotics, of which 7 cases with more than 4 antibiotics combined with alternating static point, the course of 21 to 84 days, an average of 53d (except for 1 death). 1.2.2 Treatment of diabetes before the merger of sepsis, 1 case of oral hypoglycemic agents, 2 cases of insulin treatment; combined sepsis, 8 patients were treated with normal insulin (RI) control of blood glucose, RI, an average dose of 77u / d, infection