老年糖尿病合并肺部感染40例临床分析

目的：探讨老年糖尿病合并肺部感染的临床特点及诊疗方法。方法：回顾分析40例确诊为老年糖尿病合并肺部感染患者的临床资料。结果：老年糖尿病患者合并肺部感染的症状多不典型,主要致病菌为革兰阴性菌,应用胰岛素泵控制血糖、使用敏感抗生素,全身支持治疗可治愈。结论：老年糖尿病合并肺部感染诊治困难,控制血糖是关键,应用有效抗生素、全身营养支持等综合治疗,可取得较好疗效。

CLINICALANALYSIS OF 40 CASES SENILE DIABETES MELLITUS PATIENTS COMBINED PULMONARY INFECTION

Objective:To investigate characteristics,diagnosis and treatment of senile diabetes mellitus patients combined pulmonary infection.Methods:The clinical data of 40 cases senile diabetes mellitus combined pulmonary infection were retrospectively analyzed.Results:Senile diabetes mellitus combined pulmonary infection showed uncharacteristic symptoms;the main pathogenic bacteria were gram-negative bacteria. The senile diabetes mellitus patients combined pulmonary infection could be cured by controling blood glucose using insulin pump,applying sensitive antibiotics and systemic supporting therapy.Conclusions:It is difficult to diagnose and treat senile diabetes mellitus combined pulmonary infection. The key is controlling blood glucose;using sensitive antibiotics and systemic support therapy can get better curative effects.