【摘要 】 目的 提高对艾滋病肺合并症的认识。方法 对1992年3月～1997年8月间诊断的6例艾滋病患者进行分析。结果 并发卡氏肺囊虫性肺炎(PCP)5例(其中1例为艾滋病首发表现)，其临床表现为发热(5/5)，呼吸困难(4/5)和低氧血症(5/5)，平均动脉血氧分压为58mm Hg(1 mm Hg=0.133 kPa )，胸部X片显示，两肺弥漫间质或肺泡性浸润。另有支气管真菌感染、肺结核和淋巴结结核各1例(痰抗酸杆菌阳性、结核菌素试验阴性)。结论 艾滋病容易发生各种肺合并症，尤以PCP多见。对既往身体健康的青壮年，如突然发生肺炎和呼吸衰竭应警惕PCP发生。对特定情况下发生的肺机会性感染应警惕艾滋病，并及时检查血抗人类免疫缺陷病毒(HIV)抗体。

    

Department of Respiratory Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730

【Abstract 】 Objective Toimprove and to increase the awareness of pulmonary complications of AIDS. Methods Sixcases of confirmed AIDS from may 1992 to August 1997 were analyzed. Results Of the sixcases, there were five complicated with pneumocysitis carinii pneumonia (PCP) (in whichone had PCP as the first occurred manifestation) ......