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目的:探讨糖尿病合并社区获得性肺炎的临床特点。方法:回顾性分析42例住院糖尿病合并社区获得性肺炎患者的临床资料,与同期住院的60例单纯社区获得性肺炎患者的临床资料进行对比,从临床表现、实验室检查、治疗与转归等方面进行对比分析。结果:糖尿病合并CAP患者低蛋白血症发生率、尿蛋白阳性率、电解质紊乱的发生率高于单纯CAP组;胸部X线片双侧病变发生率较单纯CAP患者高;持续发热时间、平均住院时间较单纯CAP组长;差异均有统计学意义。结论:糖尿病合并CAP较单纯CAP患者病情严重,临床医师应予以充分重视,严格控制血糖及合理选用抗生素是治疗成功的关键。
Objective: To investigate the clinical features of diabetes and community-acquired pneumonia. Methods: The clinical data of 42 patients with hospital-acquired diabetes mellitus and community-acquired pneumonia were retrospectively analyzed. The clinical data of 60 patients with community-acquired pneumonia admitted in the same period were compared. Clinical data, laboratory tests, treatment and prognosis Comparative analysis. Results: The incidence of hypoproteinemia, urinary protein positive rate and electrolyte imbalance in patients with diabetes mellitus complicated with CAP were higher than those in CAP group. The incidence of bilateral lesion in chest X-ray was higher than that in CAP patients alone. The duration of fever, average hospital stay Compared with CAP group, the differences were statistically significant. Conclusions: Patients with diabetes mellitus complicated with CAP are more serious than patients with pure CAP. Clinicians should pay sufficient attention to them. Strict control of blood glucose and rational use of antibiotics are the keys to successful treatment.