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目的观察糖尿病合并肺结核的临床表现及不同方案的治疗效果。方法对糖尿病合并肺结核的99例患者的临床质料进行分析。结果糖尿病合并肺结核少有典型结核中毒症状,其中以咳嗽咳痰、纳差乏力、心悸气促为主要临床表现,低热盗汗不明显。血糖控制程度明显影响结核病灶的愈合。结论积极控制好血糖是治疗糖尿病合并肺结核的关键,长程抗结核治疗方案效果可能更佳。
Objective To observe the clinical manifestations of diabetes mellitus combined with tuberculosis and the therapeutic effect of different regimens. Methods The clinical materials of 99 patients with diabetes complicated with pulmonary tuberculosis were analyzed. Results There were few typical symptoms of TB in diabetic patients with pulmonary tuberculosis. Among them, cough and sputum, fatigue and poor appetite were the main clinical manifestations of pneumothorax. The degree of glycemic control significantly affects the healing of tuberculosis. Conclusion Positive control of blood sugar is the key to treating diabetes complicated with pulmonary tuberculosis. The effect of long-term anti-TB treatment may be better.