重症肺结核合并糖尿病继发液气胸的一例病例报告和文献复习
Journal: Basic Medical Theory Research DOI: 10.32629/bmtr.v8i3.20491
Abstract
本文报道 1 例 55 岁男性重症肺结核合并 2 型糖尿病继发液气胸病例。因呼吸困难 10 天入院，入院时存在低氧血症、低血压，胸部CT提示双肺多发空洞、左肺毁损。入院后给予补液、升压、静脉联合口服抗结核药物及控制血糖等治疗，住院期间因如厕行 Valsalva 动作突发左侧大量液气胸，立即行胸腔闭式引流，经持续抗结核与对症治疗后病情逐渐好转。结合文献复习提示，糖尿病是重症肺结核的重要高危因素，二者形成代谢与免疫紊乱的恶性循环；重症肺结核、抗结核治疗不依从及胸腔压力骤增为继发液气胸的主要诱因，临床需早期识别、规范抗结核、严格控制血糖并及时处理液气胸，以改善患者预后。
Keywords
重症肺结核；2型糖尿病；液气胸；病例报告
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