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目的探讨糖尿病合并肺部感染患者的发病特点及治疗效果。方法于2002—2005年取106例糖尿病合并肺部感染患者的临床表现、致病菌及治疗转归情况。结果 106例患者中1型糖尿病9例,2型糖尿病97例,其中有糖尿病慢性并发症71例;106例中痰细菌培养阳性78株,克雷伯杆菌为31株,铜绿假单胞菌、金黄色葡萄球菌和大肠埃希菌分别为20、12和9株,表皮葡萄球菌和鲍曼氏不动杆菌各3株。治愈率87.7%。结论糖尿病合并肺部感染的主要致病菌为革兰阴性杆菌,有效地控制血糖、选用敏感有效的抗生素是治疗的关键。
Objective To investigate the onset and treatment of diabetic patients with pulmonary infection. Methods From 2002 to 2005, 106 patients with diabetes mellitus and pulmonary infection were enrolled in the study. Results Among the 106 patients, 9 were type 1 diabetes mellitus and 97 type 2 diabetes mellitus patients, of which 71 were chronic complications of diabetes mellitus; 78 were sputum bacterial culture positive in 106 patients, 31 were Klebsiella pneumoniae, Staphylococcus aureus and Escherichia coli were 20, 12 and 9 strains, Staphylococcus epidermidis and Acinetobacter baumannii each 3 strains. The cure rate was 87.7%. Conclusion The main pathogen of diabetes mellitus complicated with pulmonary infection is Gram-negative bacilli, which can effectively control blood sugar. The key to the treatment is the selection of sensitive and effective antibiotics.