2型糖尿病合并肺部感染的临床分析

目的探讨2型糖尿病合并肺部感染的发病因素、临床表现及诊治情况。方法对76例2型糖尿病合并肺部感染的患者的资料进行分析。结果糖尿病合并肺部感染患者临床表现不典型，感染较难控制，易发各种并发症。细菌培养以革兰氏染色阴性茵占优势，主要有克雷白杆菌、铜绿假单胞茵、大肠杆菌等，药敏结果显示以多重耐药菌株较多。76例中63例感染得到控制，13例死亡。结论2型糖尿病合并肺部感染的临床表现不典型，早发现、早诊断、联合胰岛素治疗并根据药敏选择强有力的抗菌素是改善预后的关键。

The Clinical Analysis of 76 Cases of 2 - Type of Combination of Diabetes and Pulmonic Infection

Objective To discuss the occurrence factors,clinical representation and diagosis situation of 2 - type diabetes and pulmonic infection. Methods Analyzing the data of 76 cases of 2 - type diabetes and pulmonic infection. Results The clinical representation of patients with combination of diabetes and pulmonic infection is not typical, the infection is difficult to control and is liable to have complications. Gramnegative bacilli is predominated in the cultivation of bacteria klebsiella,pseudomonas aeruginosa,E, coli. The infection of 63 cases among 76cases got controled, 13 cases died. Conclusion The clinical representation of patients with combination of diabetes and pulmonic infection is not typical, early discovery and early diagnosis combination with insulin treatment and the choosing of powerful bacteriophage are of vital importance to the post - treatment.