(广东省南雄市人民医院， 广东 南雄 512400)

    摘 要：目的：探讨糖尿病合并肺结核的临床特点、诊断和治疗方法。方法：对本科1991年以来收治的糖尿病合并肺结核患者诊治情况进行回顾性分析。结果：63例中血糖控制理想者34例，病灶不同程度吸收、空洞缩小或关闭。血糖控制尚理想者19例，15例吸收好转，2例无好转，2例死亡。血糖控制不理想者 10例 3例吸收好转，4例无好转，死亡3例。结论：糖尿病合并肺结核应积极控制血糖，早期抗结核治疗，预防并发症的发生，能较好的控制结核，改善预后。

    关键词： 糖尿病； 肺结核； 血 糖

    Clinical Analysis of 63 cases Diabetes Complicated with Pulmonary Tuberculosis

    ZHOU Dong-he

    (The People's Hospital of Nanxiong, Guangdong Nanxiong 512400, China)

    Abstract：Objective: To investigate the clinical features, diagnosis and treatment of diabetes complicating pulmonary tuberculosis. Method: The data of diagnosis and treatment for patients of diabetes complicating pulmonary tuberculosis admitted in our department since 1991 was analyzed retrospectively. Result: In all 63 cases, there were 34 cases with well-controlled serum glucose. Their focuses of pulmonary tuberculosis were more or less absorbed, and cavities reduced or disappeared. 19 cases had comparatively well-controlled serum glucose, 15of whom had absorbed focuses and improved, 2 didn’t improve and 2 died. There were 10 patients whose serum glucose was not controlled well. Of the 10 patients, 3 gained absorbed focuses and improved, 4 didn’t improve and 3 died. Conclusion: In diabetes complicating pulmonary tuberculosis, controlling serum glucose positively, giving early anti-tuberculosis treatment and preventing complication can control tuberculosis well and improve prognosis. ......