浅谈糖尿病合并肺结核的临床特点

Discussed shallowly the diabetes merge pulmonary tuberculosis＇s clinical characteristic

目的：探讨糖尿病（DM）合并肺结核（LTB）的临床特点，提高认识和减少漏诊。方法：回顾自2008年10月-2009年10月我院收治的糖尿病合并肺结核患者38例，分析诊治经过。结果：糖尿病控制较好34例，其结核病灶不同程度吸收、空洞缩小、闭合，32例痰菌阳性者转阴；控制不良的4例有2例无效，2例恶化。结论：肺结核患者久治不愈应高度疑有糖尿病，首先控制血糖，同时积极抗痊，多数患者病情能够得到有效控制。

Objective：Discusses diabetes （DM） merge pulmonary tuberculosis （LTB） the clinical characteristic, enhances knows and reduces leaks examines. Methods：Reviews from October, 2008-2009 year in October I the courtyard admitting diabetes merge pulmonary tuberculosis patient 38 examples, the analysis diagnosis process. Results：Diabetes control the good 34 examples, its tuberculosis infection varying degree absorption, empty reduction, closed, 32 example phlegm fungus masculine gender transfers cloudy; Controls the bad 4 examples to have 2 examples to be invalid, 2 example worsenings. Conclusion：Pulmonary tuberculosis patient long treatment not should doubt highly has diabetes, first controls the blood sugar, simultaneously is positive the anti--recover from illness, the most patient conditions can be under the active control.