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目的 :老年糖尿病患者合并肺部感染、起病隐匿、患病率高、病情重、应常规检查血糖及痰培养 ,以免漏诊误诊。方法 :发生肺部感染后 ,2 8例均需胰岛素治疗 ,同时选择新一代头孢素类。结果 :14例高渗性昏迷患者大量补液 ,2例持续静脉滴注胰岛素 ,应用抗生素 ,10例平均 3 6 (6～ 48)h清醒、4例死亡 ;1例原需胰岛素治疗的仍应用胰岛素 ;其它 13例应用抗生素的同时均需静注或皮下注射胰岛素控制血糖。结论 :糖尿病合并肺部感染仍需应用小剂量胰岛素静滴维持或皮下注射 ,感染控制后改口服降糖药。
Objective: Elderly diabetic patients with pulmonary infection, occult onset, high prevalence, serious illness, blood glucose and sputum should be routinely checked to avoid misdiagnosis. Methods: After pulmonary infection, 28 cases were required insulin treatment, while selecting a new generation of cephalosporins. Results: In 14 hypertonic coma patients, a large amount of fluid was rehydrated. Two patients continued to receive intravenous drip infusion of insulin. An average of 36 patients (6 ~ 48) h awakened in 10 patients and 4 patients died. One patient who was insulin- ; Other 13 cases of antibiotics at the same time need intravenous or subcutaneous insulin to control blood sugar. Conclusion: Diabetes with pulmonary infection still need to use a small dose of insulin intravenous infusion or subcutaneous injection, control of oral administration of oral hypoglycemic agents.