老年糖尿病并肺部感染临床分析

Clinical analysis of senile diabetes mellitus complicated with pulmonary infection

目的研究因糖尿病诱发肺部感染老年患者的发病原因、机理、临床表现及诊断与防治方法。方法回顾并分析58例并发肺部感染老年糖尿病患者的临床诊治过程及回访结果。结果在全疗程足量抗感染治疗,并将患者空腹血糖均控制4.4~6.5 mmol/L的情况下,治愈21例,显效27例,好转7例,无效3例。总有效率82.8%。结论老年糖尿病合并肺部感染的病因很复杂,临床表现不典型,易发生误诊漏诊、并发多脏器（以呼吸和循环系统器官为主）损害,死亡率较高,应通过及早完善辅查达到早发现、早诊断、早治疗的目的。治疗原则为积极控制血糖在正常范围,防治糖尿病并发症,合理并足量使用抗生素。

Objective To research aetiological agent, mechanism, clinical manifestation, and method for diagnosis, prevention and treatment in senile patients of diabetes mellitus complicated with pulmonary infection. Methods Clinical diagnosis and treatment progress and follow-up result were retrospectively analysis in 58 senile patients of diabetes mellitus complicated with pulmonary infection. Results By complete adequate antiinfection treatment for controlling fasting blood glucose in 4.4~6.5 mmol/L, there were 21 cured cases, 27 excellent cases, 7 improved cases, and 3 ineffective cases, with the total effective rate as 82.8%. Conclusion Senile diabetes mellitus complicated with pulmonary infection has complex pathogenesis, atypical clinical manifestations, easy misdiagnosis, complicated multiple organs trauma, and high death rate. Timely auxiliary check is necessary for early detection, diagnosis, and treatment. Treatment principles include active control of normal blood glucose level, prevention and treatment of diabetic complication, and rational use of antibiotics.