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目的研究糖尿病合并肺结核时临床特点及其治疗方法。方法分析2005-2009年巩义市结核病防治所收治的42例糖尿病合并肺结核患者在治疗过程中的疗效及其相关问题。结果糖尿病并发肺结核往往比较严重,诊断治疗不及时常造成病情急剧恶化,死亡率高。结论在临床工作中,一旦两者并存,应积极控制糖尿病,并早期合理抗结核治疗。两者预后首先决定于糖尿病控制情况,其次决定于肺结核严重程度。
Objective To study the clinical features and treatment of diabetic patients with pulmonary tuberculosis. Methods The efficacy and related problems of 42 patients with diabetes mellitus combined with tuberculosis admitted during 2005-2009 in Gongyi Tuberculosis Prevention and Treatment Institute were analyzed. Results Diabetes mellitus complicated with pulmonary tuberculosis is often more serious, diagnosis and treatment is not often caused by the rapid deterioration of the disease, high mortality. Conclusions In the clinical work, once the two co-exist, they should actively control diabetes and treat tuberculosis early and reasonably. Both prognosis depends on the first control of diabetes, and secondly on the severity of tuberculosis.