煤工尘肺糖尿病合并肺部感染患者临床调查分析

Clinical Investigation and Analysis of Coal Workers with Pneumoconiosis and Diabetes Mellitus Complicated by Pulmonary Infection

目的探讨煤工尘肺糖尿病并发肺部感染的疾病特点、感染原因以及治疗措施。方法选择了2011年1月—2012年1月该院收治的煤工尘肺糖尿病并发肺部感染的48例患者作为研究对象,对其进行通过X线片检查、对30例患者进行胰岛素控制血糖,18例患者采用饮食控制及口服降糖药。敏感抗生素抗感染治疗,并且进行对症治疗。结果 48例患者,46例治愈,2例死亡,死亡原因:脏器功能严重衰竭、死亡。结论胸部X线片检查非常重要,做到早确诊、早治疗,积极控制患者血糖、积极控制感染,并对症治疗,能够有效促进患者免疫功能的提高,促进疾病治愈。

Objective To further study the characteristics, causes of infection and treatment measures for coal workers with pneu- moconiosis and diabetes mellitus complicated by pulmonary infection. Methods 48 cases of coal workers with pneumoconiosis and diabetes mellitus complicated by pulmonary infection admitted in our hospital from January, 2011 to January, 2012 were selected as the subjects. All the patients underwent X-ray examination. 30 cases were given insulin to control blood sugar, and 18 cases were treated with diet control and oral hypoglyeemic drugs. Sensitive antibiotics anti-infective treatment, and symptomatic treat- ment. Results Of the 48 patients, 46 cases were cured, 2 cases died due to severe organ failure. Conclusion Chest X-ray exami- nation is very important. Early diagnosis and treatment, positively controlling blood glucose and infection and treating symptomati- cally can effectively improve the immune function of the patients, and promote the cure of the disease.