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目的观察糖尿病合并肺结核的临床特点及糖尿病控制对结核治疗疗效的影响。方法对糖尿病合并肺结核患者60例的临床资料进行回顾性分析。结果糖尿病合并肺结核以咳嗽咳痰、纳差乏力、心悸气促为主要临床表现,低热盗汗不明显;肺部影像学表现以大片状或斑片状渗出性阴影为主,多见干酪空洞及支气管播散灶;临床易误诊;血糖控制情况明显影响结核治疗疗效。结论糖尿病并发肺结核时,两病宜同步治疗,积极控制血糖,早期合理抗结核治疗,能提高肺结核的治愈率。
Objective To observe the clinical features of diabetes mellitus combined with tuberculosis and the effect of diabetes control on the curative effect of tuberculosis. Methods The clinical data of 60 patients with diabetes complicated with pulmonary tuberculosis were retrospectively analyzed. Results The main clinical manifestations of cough and phlegm, poor appetite and palpitations and pneumothorax in diabetic patients with pulmonary tuberculosis were insignificant in low-heat night sweats. Pulmonary radiography was mainly in the shape of large patchy or patchy exudative shadows, And bronchial disseminated stove; clinical misdiagnosis; blood glucose control significantly affect the efficacy of tuberculosis treatment. Conclusions In the case of diabetes mellitus complicated with tuberculosis, the two diseases should be treated synchronously, and the blood sugar should be controlled actively. Early rational treatment of anti-tuberculosis can improve the cure rate of tuberculosis.