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糖尿病患者伴有肺结核较正常人高3—6倍。由于糖尿病患者免疫功能下降,合并肺结核时症状常不典型,容易捅诊,现将我院收治的106例糖尿病合并肺结核患者中漏诊的31例分析如下。 1 临床资料 1.1一般资料:本组男17例,女14例,年龄30—71岁,平均50岁,其中60岁以上18例(58.06％)。糖尿病病程1—20年,平均8年。糖尿病治疗不正规,直糖长期控制不满意者25例(80.65％)。 1.2临床表现:血糖升高28例(90.32％),体重减轻、食欲下降23例(74.19％),潮热、盗汗16例(56.61％),乏力、倦怠14例(45.16％),咳嗽、咳痰13例(41.94％),咯血痰3例(9.67％),患侧呼吸音减弱8例(25.81％)。
Diabetes patients with pulmonary tuberculosis 3-6 times higher than normal. Due to decreased immune function in patients with diabetes, the symptoms are often atypical pulmonary tuberculosis, easy to poke diagnosis, now admitted to our hospital in 106 patients with diabetes mellitus combined with pulmonary tuberculosis missed 31 cases analyzed as follows. 1 Clinical data 1.1 General Information: The group of 17 males and 14 females, aged 30-71 years, mean 50 years, of which 18 cases over the age of 60 (58.06%). Diabetes duration of 1 - 20 years, an average of 8 years. Irregular treatment of diabetes, long-term control of straight-lipped sugar are not satisfied in 25 cases (80.65%). 1.2 clinical manifestations: hyperglycemia in 28 cases (90.32%), weight loss, appetite decreased in 23 cases (74.19%), hot flashes, night sweats in 16 cases (56.61%), fatigue, burnout in 14 cases (45.16%), cough, cough Phlegm in 13 cases (41.94%), hemoptysis sputum in 3 cases (9.67%), ipsilateral respiratory sound attenuation in 8 cases (25.81%).