目的探讨糖尿病合并肺结核的临床特征及相互关系,使患者能得到早期诊断、合理治疗,提高治愈率。方法回顾性分析本院自2002年6月至2004年6月收治的85例糖尿病并发肺结核患者资料。结果85例中先患糖尿病者60(70.6%),两病同时发现l7例(20.0%),先患肺结核后患糖尿病者8例(9.4%),患者有糖尿病代谢紊乱的症状和咳嗽、咳痰、胸痛、咯血等呼吸道症状,疗程结束时,血糖FBG<7.8mmol/L有71例,其中肺结核病灶吸收好转63例(88.7%)。痰结核菌阴转59例,糖尿病控制不理想14例中,有2例病灶吸收好转,痰结核菌有1例阴转,多数病灶在进展,有3例5年内死亡。结论糖尿病与肺结核两病并发时,互相影响、互为因果,临床应当提高治疗和预防。 Objective To explore the clinical characteristics and the relationship between diabetes mellitus and pulmonary tuberculosis, so that patients can get early diagnosis and reasonable treatment to improve the cure rate. Methods A retrospective analysis of our hospital since June 2002 to June 2004 admitted to 85 cases of diabetic patients with pulmonary tuberculosis data. Results Sixty (70.6%) patients with diabetes were found in 85 patients. Seventeen patients (20.0%) were found to have both disease and eight patients (9.4%) were suffering from pulmonary tuberculosis. The patients had symptoms of diabetic metabolic disorders and cough and sputum , Chest pain, hemoptysis and other respiratory symptoms. At the end of the course of treatment, blood glucose FBG <7.8mmol / L in 71 cases, including tuberculosis lesions improved in 63 cases (88.7%). In sputum, 59 cases of sputum TB were negative and 14 cases of diabetes were not controlled. Among 2 cases, 2 cases had better absorption, 1 case of sputum TB was negative, most of the lesions were progressing and 3 cases died within 5 years. Conclusion When the two diseases of diabetes and tuberculosis are complicated, they affect each other and each other cause and effect, so the treatment and prevention should be improved clinically.