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目的采用痰细菌培养、药敏试验、抗酸染色、真菌检查,对48例糖尿病合并COPD进行痰细菌学检查、抗酸染色、真菌检查,主要致病菌:肺炎链球菌、大肠埃希杆菌、肺炎克雷白、金黄色葡萄糖球菌,结核分枝杆菌、真菌。各菌属对万古霉素、亚胺培南西斯他定、替考拉丁、哌拉西林他唑巴坦、头孢哌酮舒巴坦、莫西沙星敏感率高。结论革兰氏阴性杆菌为主,对多种常见药,耐药性高,对新药、高价药物敏感性高,治疗费用高,应引起临床医师的高度重视。
Objective To investigate the sputum bacteriological examination, antacid staining and fungal examination of 48 patients with diabetes mellitus complicated with COPD. The main pathogenic bacteria were Streptococcus pneumoniae, Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Mycobacterium tuberculosis, fungi. Each strain of vancomycin, imipenem can be statiflus, teicoplanin, piperacillin tazobactam, cefoperazone sulbactam, moxifloxacin sensitive. Conclusions Gram-negative bacilli is the mainstay of many common drugs, high drug resistance, high sensitivity to new drugs, high-priced drugs, high cost of treatment should be caused by clinicians attach great importance.