[目的]了解糖尿病合并结核病的临床特点,进一步完善防治策略。[方法]对门诊近10年糖尿病合并肺结核92例资料进行分析。[结果]92例患者中,78例(84.8%)先发生糖尿病,其中Ⅱ型糖尿病86例(93.5%);14例(15.2%)先发生肺结核,患者以老年为多,男性多,临床症状不典型,但病情较重,体重下降明显,咳嗽、咳痰、咯血者较多,并发症多且重。痰菌阳性率78.2%,传染性很强。对有结核中毒症状、病变广泛的I型糖尿病和经口服降糖药后血糖未控制的Ⅱ型患者应尽早用胰岛素治疗,病情得到较好控制。[结论]对确诊的糖尿病或肺结核,临床医生应高度警惕两病并存的可能,及时行必要的检查,以获早期诊断并治疗。 [Objective] To understand the clinical features of diabetes complicated with tuberculosis and to further improve the prevention and cure strategies. [Method] The data of 92 cases of diabetes mellitus combined with pulmonary tuberculosis in clinic for nearly 10 years were analyzed. [Results] Among the 92 patients, 78 cases (84.8%) had diabetes first, of which 86 cases (93.5%) had type II diabetes mellitus; 14 cases (15.2%) first developed pulmonary tuberculosis. The patients were mostly elderly people, Atypical, but serious condition, weight loss significantly, cough, sputum, hemoptysis were more complications and more weight. The positive rate of sputum bacterium was 78.2%, highly contagious. The symptoms of tuberculosis, extensive type I diabetes mellitus and oral hypoglycemic agents uncontrolled type Ⅱ patients should be treated with insulin as soon as possible, the disease was better controlled. [Conclusions] Clinicians should be highly alert to the possibility of co-existence of the two diseases for the diagnosed cases of diabetes or tuberculosis. The necessary examinations should be promptly carried out for early diagnosis and treatment.