CAJ | 학술논문

目的：研究因糖尿病诱发肺部感染老年患者的发病原因、机理、临床表现及诊断与防治方法。方法回顾并分析58例并发肺部感染老年糖尿病患者的临床诊治过程及回访结果。结果在全疗程足量抗感染治疗，并将患者空腹血糖均控制4.4~6.5 mmol/L的情况下，治愈21例，显效27例，好转7例，无效3例。总有效率82.8%。结论老年糖尿病合并肺部感染的病因很复杂，临床表现不典型，易发生误诊漏诊、并发多脏器(以呼吸和循环系统器官为主)损害，死亡率较高，应通过及早完善辅查达到早发现、早诊断、早治疗的目的。治疗原则为积极控制血糖在正常范围，防治糖尿病并发症，合理并足量使用抗生素。
목적：연구인당뇨병유발폐부감염노년환자적발병원인、궤리、림상표현급진단여방치방법。방법회고병분석58례병발폐부감염노년당뇨병환자적림상진치과정급회방결과。결과재전료정족량항감염치료，병장환자공복혈당균공제4.4~6.5 mmol/L적정황하，치유21례，현효27례，호전7례，무효3례。총유효솔82.8%。결론노년당뇨병합병폐부감염적병인흔복잡，림상표현불전형，역발생오진루진、병발다장기(이호흡화순배계통기관위주)손해，사망솔교고，응통과급조완선보사체도조발현、조진단、조치료적목적。치료원칙위적겁공제혈당재정상범위，방치당뇨병병발증，합리병족량사용항생소。
ObjectiveTo research aetiological agent, mechanism, clinical manifestation, and method for diagnosis, prevention and treatment in senile patients of diabetes mellitus complicated with pulmonary infection. MethodsClinical diagnosis and treatment progress and follow-up result were retrospectively analysis in 58 senile patients of diabetes mellitus complicated with pulmonary infection.ResultsBy complete adequate anti-infection treatment for controlling fasting blood glucose in 4.4~6.5 mmol/L, there were 21 cured cases, 27 excellent cases, 7 improved cases, and 3 ineffective cases, with the total effective rate as 82.8%.ConclusionSenile diabetes mellitus complicated with pulmonary infection has complex pathogenesis, atypical clinical manifestations, easy misdiagnosis, complicated multiple organs trauma, and high death rate. Timely auxiliary check is necessary for early detection, diagnosis, and treatment. Treatment principles include active control of normal blood glucose level, prevention and treatment of diabetic complication, and rational use of antibiotics.