糖尿病合并肺结核63例临床分析

Clinical Analysis of 63 cases Diabetes Complicated with Pulmonary Tuberculosis

目的:探讨糖尿病合并肺结核的临床特点、诊断和治疗方法。方法:对本科1991年以来收治的糖尿病合并肺结核患者诊治情况进行回顾性分析。结果:63例中血糖控制理想者34例,病灶不同程度吸收、空洞缩小或关闭。血糖控制尚理想者19例,15例吸收好转,2例无好转,2例死亡。血糖控制不理想者10例3例吸收好转,4例无好转,死亡3例。结论:糖尿病合并肺结核应积极控制血糖,早期抗结核治疗,预防并发症的发生,能较好的控制结核,改善预后。

Objective： To investigate the clinical features, diagnosis and treatment of diabetes complicating pulmonary tuberculosis. Method： The data of diagnosis and treatment for patients of diabetes complicating pulmonary tuberculosis admitted in our department since 1991 was analyzed retrospectively. Result： In all 63 cases, there were 34 cases with well - controlled serum glucose. Their focuses of pulmonary tuberculosis were more or less absorbed, and cavities reduced or disappeared. 19 cases had comparatively well - controlled serum glucose, 15of whom had absorbed focuses and improved, 2 didn＇t improve and 2 died. There were 10 patients whose serum glucose was not controlled well. Of the 10 patients, 3 gained absorbed focuses and improved, 4 didn＇ t improve and 3 died. Conclusion： In diabetes complicating pulmonary tuberculosis, controlling serum glucose positively, giving early anti - tuberculosis treatment and preventing complication can control tuberculosis well and improve prognosis.