【作者】 周惠贤； 李笑颜； 刘玉美； 杨琼；

【Author】 Zhou Huixian,Li Xiaoyan,Liu Yumei,et a! (Guangzhou Chest Hospital,Guangzhou 510095,China)

【机构】 广州市胸科医院；

【摘要】 目的:探讨肺结核合并糖尿病的临床特点。方法:收集我院2007年～2009年确诊的171例肺结核合并糖尿病患者的临床资料并进行分析。结果:肺结核合并糖尿病的患者多有结核病症状,占86.0%;胸部X线检查病灶范围广,累及3个以上肺野占60.2%;痰菌阳性率高,初治菌阳占67.6%;痰菌阴转率偏低,初治菌阳6月末阴转82.7%。结论:重视糖尿病的控制有助于改善肺结核患者的预后。对所有肺结核及糖尿病患者都应常规进行血糖和胸部X线检查。更多还原

【Abstract】 Objective:Discussion on the clinical characteristics of pulmonary tuberculosis with diabetes mellitus.Methods:Collected in our hospital in 2007 to 2009,171 diagnosed cases of pulmonary tuberculosis with diabetes in patients with clinical data and analysis.Results:Tuberculosis in patients with diabetes have more symptoms of TB,accounted for 86%;chest X-ray examination of lesion range is wide,involves more than 3 lung field’ accounted for 60.2%; sputum positive rate is high,new smear-positive accounted for 67.6%;the sputum negative conversion rate of new smear-positive low,at the end of sixth month 82.7%.Conclusions:Diabetes mellitus control contribute to improve the prognosis of patients with pulmonary tuberculosis.All TB patients should be routine blood glucose examination.and all diabetes patients should be chest X-rav examination.更多还原