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目的探讨、总结肺结核合并糖尿病的临床特点。方法选择2014年8月至2015年7月我院收治的肺结核合并糖尿病患者82例,对其临床资料进行回顾性分析。结果肺结核合并糖尿病患者痰抗酸杆菌涂片阳性率较高且以空洞伴播散为主,治疗后痰菌阳转阴比例低、肺部病灶吸收慢。结论治疗糖尿病合并肺结核需同时进行肺结核治疗和血糖控制,同时适当延长抗痨疗程。
Objective To investigate and summarize the clinical features of pulmonary tuberculosis complicated with diabetes. Methods From August 2014 to July 2015, 82 cases of tuberculosis complicated with diabetes admitted to our hospital were retrospectively analyzed. Results The prevalence of sputum acid-fast bacilli smear in patients with pulmonary tuberculosis complicated with diabetes was higher than that in patients with tuberculosis. The proportion of sputum bacilli yang negative was low and the lung lesions were absorbed slowly. Conclusions The treatment of diabetes complicated with pulmonary tuberculosis requires simultaneous treatment of tuberculosis and blood glucose control, while appropriate anti-tuberculosis treatment.