【摘 要】 目的 分析糖尿病伴肺部感染的临床特点，探讨其治疗策略。 方法 对83例糖尿病伴肺部感染患者临床相关因素(性别、年龄、病程、血糖、并发症、痰菌等)和治疗效果进行回顾性分析。 结果 糖尿病伴肺部感染的发生率为25.4%，其发生与年龄、病程、血糖高低及同时存在的糖尿病其他并发症有密切关系(P<0.05或0.01)，而与性别无关;肺部感染类型以急性气管—支气管炎为主(占42.2%)，其次为肺炎、慢性支气管炎、肺结核等。肺部感染以革兰阴性杆菌为主。83例中痊愈和显效64例(占77.1%)，死亡15例(占18.1%)。 结论 定期行胸部X线检查，控制血糖，预防和治疗糖尿病并发症，有效抗生素应用是防治本病的关键。

    【关键词】 糖尿病;肺感染;临床分析

    Clinical analysis for83cases of diabetes mellitus complicated by pulmonary infection TIAN Jin

    * ，PING Yang.

    * Guizhou Aluminum Factory Hospital，Guizhou，Guiyang 550014，China

    【Abstract】 Objective To analyze the clinical characteristics of diabetes mellitus(DM)complicated by pul-monary infection，and to explore the treatment tactics.Methods A retrospective investigation including the related factors(sex，age，course of disease，blood glucose，complications，bacteria in sputum)and therapeutic effect was per-formed in83patients with DM complicated by pulmonary infection.Results The incidence of DM complicated by pulmonary infection was25.4%，which related closely to patient's age ......