AIDS并发结核性脑膜炎临床特点分析  

Clinical features of AIDS patients complicated by tuberculous meningitis

作　　者：莫亚艳 后金 黄娅 

机构地区：[1]云南省个旧市传染病医院,个旧661000

出　　处：《传染病信息》2009年第6期351-353,共3页Infectious Disease Information

基　　金：云南省卫生厅克林顿基金会艾滋病防治合作项目(外基证字第9503号)

摘　　要：目的探讨AIDS并发结核性脑膜炎(结脑)患者的临床特点,提高对本病的认识。方法对我院收治的22例AIDS合并结脑患者的临床资料进行回顾性分析。结果22例AIDS并发结脑患者的CD4+T淋巴细胞计数较低,平均为37.2/mm3,其中<50/mm3的18例,占81.8%。患者同时合并多种机会性感染,病死率较高。结论AIDS合并结脑临床表现复杂,诊断、治疗较困难,预后差,预防、早期诊断、合理及时的治疗是关键。Objective To investigate clinical features of AIDS patients complicated by tuberculous meningitis, and improve the understanding of the disease. Methods Clinical data of 22 AIDS patients complicated by tuberculous meningitis admitted to our hospital were analyzed retrospectively. Results Totally 22 patients had lower CD4＋ T cell counts with the mean counts of 37.2/mm3 and 18 （81.8%） had CD4＋ T cell counts of lower than 50/mm3. All the patients were attacked with multiple opportunistic infections, and the mortality was higher. Conclusions Clinical features of AIDS patients complicated by tberculous meningitis are complex, so the diagnosis and treatment are difficult, and the prognosis is bad. Prevention, early diagnosis and proper and timely treatment are essential for AIDS patients complicated by tuberculous meningitis.

关 键 词：AIDS 结核性脑膜炎 高效抗逆转录病毒治疗 

分 类 号：R512.91[医药卫生—内科学] R529.3[医药卫生—临床医学]