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目的探讨糖尿病合并肺部感染的特点,提高对该病的认识。方法总结分析我院2007～2008年68例糖尿病合并肺部感染住院患者的临床资料。结果65例痊愈好转,3例患者因多器官功能衰竭死亡。结论糖尿病合并肺部感染较多见,真菌感染有增加趋势,临床表现有时不典型,确诊方法为查血糖、X线胸片、痰培养。治疗上使用胰岛素控制血糖处于正常水平,尽早使用有效抗生素控制肺部感染,改善通气功能,同时兼顾心、肝、肾等脏器功能及营养疗法,效果良好。
Objective To investigate the characteristics of diabetes complicated with pulmonary infection and to improve the understanding of the disease. Methods The clinical data of 68 inpatients with diabetes mellitus and pulmonary infection in our hospital from 2007 to 2008 were analyzed. Results 65 cases improved, 3 patients died of multiple organ failure. Conclusions Diabetes mellitus complicated with pulmonary infection is more common, and fungal infections have an increasing tendency. The clinical manifestations are sometimes not typical. Diagnosis methods include blood sugar, X-ray and sputum culture. Therapeutic use of insulin to control blood sugar at a normal level, the early use of effective antibiotics to control lung infections, improve ventilation, both heart and liver, kidney and other organ functions and nutrition therapy, the effect is good.