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收治的26例2型糖尿病合并败血症患者和28例非糖尿病合并败血症患者进行对比总结。结果:前者中老年人居多,女性患者比例大,后者以中青年为主,男女发病相似。前者诱因主要为泌尿系感染,病原菌主要为肺炎克雷伯氏杆菌、大肠埃希氏菌;非糖尿病组主要为粪肠球菌、金黄色葡萄球菌、大肠埃希氏菌。糖尿病组治愈率低,应用抗生素疗程长。结论:糖尿病合并败血症及早足量长程应用抗生素及胰岛素控制血糖于正常水平,加强营养支持是治疗糖尿病合并败血症的有效治疗方法。
Twenty-six patients with type 2 diabetes mellitus and septicemia were treated and compared with 28 non-diabetic patients with sepsis. Results: The former is mostly middle-aged and elderly, with a large proportion of female patients. The latter is mainly middle-aged and young, with similar incidence of males and females. The former predisposing factors mainly urinary tract infections, the main pathogen Klebsiella pneumoniae and Escherichia coli; non-diabetic group mainly Enterococcus faecalis, Staphylococcus aureus, Escherichia coli. Diabetes group cure rate is low, long course of treatment with antibiotics. Conclusion: Diabetes with sepsis and adequate long-term use of antibiotics and insulin in the long-term control of blood glucose at normal levels, to enhance nutritional support is an effective treatment of diabetes mellitus and septicemia.