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目的分析老年2型糖尿病合并肺部感染的临床特点、发病因素及诊治情况。方法回顾性分析60例老年2型糖尿病合并肺部感染的资料。结果老年2型糖尿病合并肺部感染的患者往往临床表现不典型,致病菌多以G-杆菌为主,且血糖控制差、糖尿病并发症多、糖尿病病程较长等,与肺部感染的发生密切相关。结论老年2型糖尿病合并肺部感染易误诊或漏诊,诊断较困难,应尽早进行胸部X线检查,积极控制血糖,预防、治疗糖尿病并发症,根据药敏试验选择有效抗生素,加强糖尿病健康教育。
Objective To analyze the clinical features, pathogenesis, diagnosis and treatment of elderly type 2 diabetes mellitus complicated with pulmonary infection. Methods The data of 60 elderly patients with type 2 diabetes mellitus complicated with pulmonary infection were retrospectively analyzed. Results In elderly patients with type 2 diabetes mellitus and pulmonary infection, the clinical manifestations were often not typical. Most of the pathogens were G-type bacilli with poor glycemic control, more complications of diabetes and longer duration of diabetes, which were associated with the occurrence of pulmonary infection closely related. Conclusions Misdiagnosis or misdiagnosis of elderly type 2 diabetes mellitus complicated with pulmonary infection is more difficult to diagnose. Chest X-ray examination should be conducted as soon as possible to positively control blood sugar and prevent and treat the complications of diabetes. Effective antibiotics should be selected according to susceptibility testing to enhance diabetes health education.