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目的研究因糖尿病诱发肺部感染老年患者的发病原因、机理、临床表现及诊断与防治方法。方法回顾并分析58例并发肺部感染老年糖尿病患者的临床诊治过程及回访结果。结果在全疗程足量抗感染治疗,并将患者空腹血糖均控制4.4~6.5 mmol/L的情况下,治愈21例,显效27例,好转7例,无效3例。总有效率82.8%。结论老年糖尿病合并肺部感染的病因很复杂,临床表现不典型,易发生误诊漏诊、并发多脏器(以呼吸和循环系统器官为主)损害,死亡率较高,应通过及早完善辅查达到早发现、早诊断、早治疗的目的。治疗原则为积极控制血糖在正常范围,防治糖尿病并发症,合理并足量使用抗生素。
Objective To study the pathogenesis, mechanism, clinical manifestation, diagnosis and prevention of elderly patients with diabetes-induced pulmonary infection. Methods The clinical diagnosis and treatment of 58 elderly patients with pulmonary infection and diabetes were retrospectively analyzed. Results In the full course of treatment of adequate anti-infective treatment, and patients with fasting blood glucose were controlled 4.4 ~ 6.5 mmol / L, 21 cases were cured, markedly effective in 27 cases, improved in 7 cases, 3 cases. The total effective rate of 82.8%. Conclusions Elderly patients with diabetes mellitus complicated with pulmonary infection are complicated in etiology, atypical clinical manifestations, misdiagnosis and misdiagnosis, complicated by multiple organs (mainly respiratory and circulatory system organs), and high mortality rate, which should be achieved through early perfection of supplementary examination Early detection, early diagnosis, early treatment purposes. The principle of treatment for the active control of blood glucose in the normal range, prevention and treatment of diabetic complications, rational and adequate use of antibiotics.