SARS伴2型糖尿病和继发性高血糖患者的临床特点

Clinical feature in patients of severe acute respiratory syndrome with type 2 diabetes and secondary hyperglycemia

回顾性分析 2 0 0 3年 1～ 6月确诊的 2 6例严重急性呼吸综合征 (SARS)患者的临床特征 ,其中合并 2型糖尿病患者 4例 ,3例死亡 ;合并继发性高血糖患者 7例 ,4例死亡 ;正常血糖患者 15例 ,无死亡病例。SARS伴 2型糖尿病或继发性高血糖的患者年龄较大 ,肺部病变范围较广 ,淋巴细胞百分率减少和血小板减少症较多 ,肝损害较多 ,这类患者的病死率较高。

The clinical feature was retrospectively analysed in 26 cases of severe acute respiratory syndrome (SARS) with type 2 diabetes or secondary hyperglycemia diagnosed from January to June, 2003. Among them, 4 cases were complicated with type 2 diabetes (3 died), 7 cases were complicated with secondary hyperglycemia (4 died) and 15 cases were not complicated with hyperglycemia (none died). SARS patients complicated with type 2 diabetes or the secondary hyperglycemia were older, more extent of lung lesion, more decreased percentage of lymphocytes, more thyrombocytepenia and more hepatic disorder than those in SARS patients without hyperglycemia. The former showed higher mortality.