目的：探讨糖尿病合并肺脓肿的临床表现及诊疗方法。方法对我院35例糖尿病并发肺脓肿患者临床资料进行回顾性分析。结果全部采用内科保守治疗，20例（57.1%）痊愈，8例（22.9%）好转，5例（14.3%）转胸外科行手术治疗，1例（2.9%）死亡，1例（2.9%）自动出院。结论糖尿病患者并发肺脓肿和患者血糖控制不理想有紧密的关系，患者临床表现多不典型,容易误诊漏诊；治疗要尽早使用胰岛素，尽可能根据细菌培养和药敏试验结果合理用药。%Objective:To investigate the clinical manifestations, diagnosis and treatment method of diabetic patients with pulmonary abscess. Methods: Clinical data of 35 cases of diabetes complicated with pulmonary abscess were retrospectively analyzed. Results: Al patients accepted conservative treatment, 20 patients (57.1%) cured, 8 cases (22.9%) improved, 5 cases (14.3%) switch to thoracic surgery for surgical treatment, 1 patient (2.9%) died, and 1 patient (2.9%) automatical y discharged. Conclusion: Diabetes with lung abscess has a close relationship with unsatisfactory blood glucose control, the clinical manifestations of which are not typical, easily misdiagnosed; insulin should be used as early in treatment, and drugs should be rational y used as far as possible according to the results of bacterial culture and sensitivity test.
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