老年2型糖尿病患者肺部感染的CT特点分析

张凤令; 赵黎; 刘佳宝

doi:10.15953/j.1004-4140.2021.30.05.06

老年2型糖尿病患者肺部感染的CT特点分析

1. 北京老年医院放射科, 北京 100095;
2. 北京友谊医院放射科, 北京 100050

基金项目:

北京市医院管理中心临床医学发展专项（ZYLX202131）。

详细信息

作者简介:
张凤令^*,女,硕士,北京老年医院副主任医师,主要从事胸部影像诊断方面工作,E-mail:fengling4097@126.com。

中图分类号: R814.42
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- 文章访问数: 266
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出版历程
- 收稿日期: 2021-06-29
- 网络出版日期: 2021-09-22

CT Features of Pulmonary Infection in Elderly Patients with Type 2 Diabetes Mellitus

1. Department of Radiology, Beijing Geriatric Hospital, Beijing 100095, China;
2. Department of Radiology, Beijing Friendship Hospital, Beijing 100050, China

摘要

摘要: 目的：分析老年2型糖尿病患者并肺部感染的临床及CT特点。方法：回顾2019年5月至2021年5月期间医院住院的150例老年2型糖尿病患者并肺部感染的完整病历资料，并进行分析。结果：病原菌阳性率为90%（135/150），病原菌大多为革兰阴性菌；150例患者中CT表现主要为：小叶性肺炎62例、大叶性肺炎41例、肺结核31例、肺脓肿9例、真菌感染7例；小叶性肺炎、肺结核以多肺叶分布为主，大叶性肺炎、肺真菌感染则以单肺叶分布为主；150例患者中血糖控制良好者为101例，不佳者为49例，两者进行疗效分析，差异具有统计学意义。结论：老年2型糖尿病患者易并肺部感染，CT能够准确地分析肺内的病变情况。
- 糖尿病 /
- 肺部感染 /
- CT
Abstract: Objective: To analyze the clinical and CT features of elderly patients with type 2 diabetes mellitus complicated with pulmonary infection. Methods: A total of 150 elderly patients with type 2 diabetes mellitus and pulmonary infection treated in our hospital from May 2019 to May 2021 were analyzed retrospectively. Results: The positive rate of pathogenic bacteria was 90% (135/150), most of which were gram negative. The CT manifestations of 150 patients were mainly lobular pneumonia, lobar pneumonia, pulmonary tuberculosis, pulmonary abscess and fungal infection, and the number of the cases were 62, 41, 31, 9, 7 respectively;Lobular pneumonia and pulmonary tuberculosis were mainly distributed in multiple lobes while lobar pneumonia and pulmonary fungal infection were mainly distributed in single lobe; Among the 150 ceses, there were 101 cases with good blood glucose control and 49 cases with poor blood glucose control. We compared the healing efficacy betwwen the two groups, and found that the difference was statistically significant. Conclusion: Elderly patients with type 2 diabetes are easily associated with pulmonary infection. CT can accurately analyze the pathological changes in the lung.
- diabetes mellitus /
- pulmonary infection /
- CT

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