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肺结核是糖尿病患者较常见的感染性疾病,而且发病率逐渐升高,临床表现多不典型。现将我院3年来收住院30例患者临床资料报道如下。1 临床资料1．1 病例选择我院3年来共收治糖尿病合并肺结核30例,占同期糖尿病合并感染患者的9.8%,仅次于肺炎(34.7%)和急性上呼吸道感染(20.7%)。其中男20例,女10例,Ⅰ型5例,Ⅱ型25例。1．2 发病情况①年龄≥50岁者23例(76.7%),＜50岁者7例(23.3%);②糖尿病病程≥5年者20例(66.7%),＜5年者6例(20%),先发现肺结核,半年内发现糖尿病4例(13.3%);③糖化血红蛋白≥10%者19例(63.3%),<10%11例(36.7%);④有其他慢性并发症者20例(66.7%),其中神经并发症13例(43.3%),无慢性并发症者10例(33.3%)。
Tuberculosis is a common infectious disease in patients with diabetes, and the incidence gradually increased, the clinical manifestations of atypical. Now in our hospital for 3 years admitted to hospital 30 cases of clinical data reported below. 1 Clinical data 1.1 Case Selection In our hospital over the past three years, 30 cases of diabetes mellitus and tuberculosis, accounting for 9.8% of patients with diabetes mellitus infection in the same period, second only to pneumonia (34.7%) and acute upper respiratory tract infection (20.7%). Including 20 males and 10 females, type Ⅰ in 5 cases, type Ⅱ in 25 cases. 1.2 The incidence of ① age ≥ 50 years in 23 cases (76.7%), <50 years in 7 cases (23.3%); ② diabetes duration of 5 years in 20 cases (66.7%), <5 years in 6 cases (13.3%) were found within six months; (3) 19 cases (63.3%) had glycated hemoglobin≥10%, 11 cases (36.7%) <10%; ④ There were other chronic complications Twenty patients (66.7%) had neurological complications in 13 patients (43.3%) and no chronic complications in 10 patients (33.3%).