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目的分析老年2型糖尿病伴社区获得性肺炎的临床特点和病原菌情况。方法回顾性分析76例老年2型糖尿病伴社区获得性肺炎的临床资料。结果老年2型糖尿病伴社区获得性肺炎患者临床表现不典型,血糖均控制不佳,均伴有一种以上的并发症;痰细菌培养阳性率为83.9%(47/56),病原菌以革兰阴性菌为主。结论老年糖尿病伴社区获得性肺炎临床表现不典型,病原菌以革兰阴性菌最多见。早期诊断,联合胰岛素治疗并控制血糖可降低老年糖尿病伴社区获得性肺炎病人的病死率。
Objective To analyze the clinical features and pathogens of elderly type 2 diabetes with community-acquired pneumonia. Methods A retrospective analysis of 76 elderly patients with type 2 diabetes with community-acquired pneumonia clinical data. Results The clinical manifestations of elderly type 2 diabetes patients with community-acquired pneumonia were not typical and the blood glucose was poorly controlled. All of them had more than one complication. The positive rate of sputum bacterial culture was 83.9% (47/56) Mainly bacteria. Conclusion The clinical manifestations of elderly diabetic patients with community-acquired pneumonia are not typical, the most common pathogens are Gram-negative bacteria. Early diagnosis, combined with insulin therapy and blood sugar control can reduce the mortality of elderly diabetic patients with community-acquired pneumonia.