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回顾性分析本院自2006年9月至2008年9月收治的85例糖尿病并发肺结核患者资料。结果85例中先患糖尿病者60(70.6%),两病同时发现l7例(20.0%),先患肺结核后患糖尿病者8例(9.4%),患者有糖尿病代谢紊乱的症状和咳嗽、咳痰、胸痛、咯血等呼吸道症状,疗程结束时,血糖FBG<7.8mmol/L有71例,其中肺结核病灶吸收好转63例(88.7%)。痰结核菌阴转59例,糖尿病控制不理想14例中,有2例病灶吸收好转,痰结核菌有1例阴转,多数病灶在进展,有3例5年内死亡。结论糖尿病与肺结核两病并发时,互相影响、互为因果,临床应当提高治疗和预防。
A retrospective analysis of our hospital since September 2006 to September 2008 admitted to 85 cases of patients with pulmonary tuberculosis data. Results Sixty (70.6%) patients with diabetes were found in 85 patients. Seventeen patients (20.0%) were found to have both disease and eight patients (9.4%) were suffering from pulmonary tuberculosis. The patients had symptoms of diabetic metabolic disorders and cough and sputum , Chest pain, hemoptysis and other respiratory symptoms. At the end of the course of treatment, blood glucose FBG <7.8mmol / L in 71 cases, including tuberculosis lesions improved in 63 cases (88.7%). In sputum, 59 cases of sputum TB were negative and 14 cases of diabetes were not controlled. Among 2 cases, 2 cases had better absorption, 1 case of sputum TB was negative, most of the lesions were progressing and 3 cases died within 5 years. Conclusion When the two diseases of diabetes and tuberculosis are complicated, they affect each other and each other cause and effect, so the treatment and prevention should be improved clinically.