HIV／AIDS合并卡氏肺孢子虫肺炎的临床特点与转归  

Clinical features and outcomes of HIV/AIDS-associated Pneumocystis carinii pneumonia

作　　者：刘惜年[1] 巫善明[1] 

机构地区：[1]复旦大学附属公共卫生中心,上海201508

出　　处：《世界感染杂志》2005年第4期299-301,共3页World Journal of Infection

摘　　要：目的了解HIV／AIDS合并卡氏肺孢子虫肺炎（PCP）的发生率、临床特点与治疗。方法分析上海市传染病医院1992至2004年住院病人中HIV／AIDS合并PCP的病例，根据临床症状、体征、胸部X线片及高渗盐水超声雾化吸取痰液，采用吉姆萨染色及PCR检测卡氏肺孢子虫。结果146例HIV感染者中合并PCP33例，CD4^＋平均计数37个／mm^3，病死率36．4％。结论PCP在HIV／AIDS病人中发病率较高，病死率也高。Objective： To comprehend the incidences, clinical features and outcomes of HIV/AIDS-associated Pneumocystis carinii pneumonia （PCP）. Method Medical charts of HIV/AIDS patients hospitalized in the Shanghai Municipal Infectious Diseases Hospital from 1992 to 2004 were reviewed and analyzed. PCP was diagnosed according to the clinical and laboratory findings. Results Among 146 HIV/AIDS hospitalized patients, 33 （22.6%） were diagnosed as PCR with median CD4 count of 37 cells/μL and fatality rate of 36.4%. Conclusion Both morbidity and fatality of PCP in HIV/AIDS patients are high.

关 键 词：HIV/AIDS 卡氏肺孢子虫肺炎 CD4^+计数 

分 类 号：R512.91[医药卫生—内科学] R563.1[医药卫生—临床医学]