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目的:研究糖尿病合并肺部感染的治疗方法。方法:对150例糖尿病合并肺部感染患者的痰菌检查结果及治疗结果进行分析。结果:革兰氏阴性菌占77.3%,主要致病菌依次为不动杆菌、大肠杆菌、肺炎克雷伯杆菌、绿脓杆菌、抗酸杆菌、腐生葡萄球菌、金黄色葡萄球菌、卡他布兰汉菌、白色念珠菌等,治愈率为85.6%。结论:革兰氏阴性杆菌为糖尿病合并肺部感染患者的主要致病菌,细菌耐药率逐年上升,治疗应:①良好控制血糖;②选用广谱抗生素;③改善小气道通气功能;④加强支持治疗。
Objective: To study the treatment of diabetic patients with pulmonary infection. Methods: The sputum test results and treatment results of 150 cases of diabetic patients with pulmonary infection were analyzed. Results: Gram-negative bacteria accounted for 77.3%, the main pathogens were Acinetobacter, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Acid-fast bacilli, Staphylococcus saprophyticus, Staphylococcus aureus, Lanhan bacteria, Candida albicans, etc., the cure rate was 85.6%. Conclusion: Gram-negative bacilli are the main pathogenic bacteria in patients with diabetes mellitus and pulmonary infection. The drug resistance rate of bacteria increases year by year. The treatment should be: ① good control of blood glucose; ② broad-spectrum antibiotics; ③ improve the function of small airway ventilation; ④ strengthen Support treatment.