艾滋病合并肺部感染的临床分析
【摘要】目的:提高对艾滋病机会性感染尤其是肺部感染临床表现的认识。 方法:回顾性分析62例艾滋病合并肺部感染患者的临床表现及胸部X 线表现。 结果:62 例艾滋病患者肺部感染临床表现的共同特征为:发热,乏力,消瘦,盗汗,咳嗽,吐痰,全身疼痛等。其中结核病患者39例,占总数的62.9% 。其余为肺部感染。这些患者同时伴有皮肤感染和心、肝、肾等多系统损害。 结论: 肺部感染是艾滋病最常见的机会性感染,其中结核感染最多见,是患者就诊、入院和致死的最重要原因之一。了解艾滋病合并肺部感染的临床特点及影像学特征,对艾滋病患者的早期诊断、早期治疗具有重要的意义。【关键词】艾滋病;肺部感染;肺结核
【中图分类号】R563.1【文献标识码】A【文章编号】1044-5511(2011)11-0156-01
【Summary】Purpose:Increase of opportunistic infections of AIDS, especially knowledge of clinical manifestations of lung infection. Method: Retrospective analysis of 62 cases of pulmonary infection in AIDS patients with clinical manifestations and chest X-ray. Result: 62 cases of pulmonary infection in AIDS patients is characterized by the common clinical manifestations: Fever, Fatigue, Thin, Night sweat, Cough, Spitting, Body pain. Among 39 patients of tuberculosis, 62.9% of the total. The rest is lung infection and Pneumocystis carinii disease. These patients are also associated with skin infections and heart, liver, kidney and other multi-system damage. Conclusion: Lung infection is the most common AIDS opportunistic infections, TB infection among the most common, The patient treatment, hospitalization and death of one of the most important reason.. Understanding of pulmonary infection in AIDS clinical features and imaging characteristics of, Early diagnosis of AIDS patients, early treatment is of great significance. ......
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