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目的对糖尿病合并肺结核的临床特征进行探讨。方法对34患者均予以适当控制饮食,轻度糖尿病口服降糖药,中重型使用胰岛素治疗,同时行标准短程度化疗方案。结果结核病灶吸收者29例,空洞缩小或闭合者10例,无效2例;糖尿病理想控制的25例,较好控制的3例,有效的(82.3%),控制不良的4例,死亡2例。结论糖尿病和肺结核的问题关键是两病并发的早期诊断,及早发现,及早治疗是愈后取得良好效果的保证。
Objective To investigate the clinical features of diabetes complicated with pulmonary tuberculosis. Methods All 34 patients were given proper diet control, mild hypoglycemic oral hypoglycemic agents, moderate to heavy use of insulin therapy, while standard short-course chemotherapy. Results Twenty-nine patients were recruited in tuberculosis, 10 were contracted or closed in voids, 2 were ineffective; 25 patients were well controlled by diabetes, 3 were well controlled (82.3%), 4 were poorly controlled and 2 were death . Conclusion The key to the problem of diabetes and tuberculosis is the early diagnosis of both diseases and the early detection and early treatment are the guarantees of good results.