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肺结核并发糖尿病有逐年增加的趋势,现将我院1980～1989年收治的34例肺结核并发糖尿病的患者报告如下。临床资料34例患者中男30例,女4例。年龄35～55岁。先患糖尿病后发现肺结核28例,两者同时发现4例,先患肺结核后患糖尿病2例。以“肺炎”表现为主者1例,咯血者22例;有“三多一少”症状者32例;结核中毒症状者33例;无呼吸道症状1例。胸部X线改变以渗出干酪为主。病变双侧者22例;单侧者12例;出现空洞者28例。痰菌阳性26例;痰菌阴性3例。空腹血糖7.28～11.2mmol/L3例:11.2～16.8mmol/L22例;>16.8mmol/L4例。并发糖尿病酮症酸中毒2例,肺心病2例,液气胸1例。34例患者大部分选用3HS(E)R/9HR方案化疗与控制糖尿病相结合。少数复治病人
Tuberculosis and diabetes mellitus have increased year by year trend, now in our hospital from 1980 to 1989 admitted 34 cases of pulmonary tuberculosis patients with diabetes are reported as follows. Clinical data of 34 patients, 30 males and 4 females. Age 35 ~ 55 years old. Pulmonary tuberculosis was found in 28 cases of diabetes and 4 cases of both with diabetes and 2 cases of pulmonary tuberculosis. One case was “pneumonia”, the other was hemoptysis in 22 cases. There were 32 cases with “three more and one less” symptoms; 33 cases with tuberculosis poisoning symptoms; and 1 case without respiratory symptoms. Chest X-ray changes in order to ooze cheese. Twenty-two cases of bilateral lesions; unilateral in 12 cases; voids in 28 cases. 26 cases of sputum positive; sputum negative in 3 cases. Fasting blood glucose 7.28 ~ 11.2mmol / L3 cases: 11.2 ~ 16.8mmol / L22 cases;> 16.8mmol / L4 cases. 2 cases of diabetic ketoacidosis, pulmonary heart disease in 2 cases, 1 case of pneumothorax. Most of 34 patients chose 3HS (E) R / 9HR regimen combined with controlled diabetes. A small number of patients with re-treatment