呼吸内科首诊的艾滋病42例临床分析  

CLINICAL ANALYSIS OF 42 AIDS CASES FIRST DIAGNOSED BY DEPARTMENT OF RESPI-RATORY MEDICINE

作　　者：李多[1] 刘静[2] 李阳轲[1] 

机构地区：[1]四川省泸州医学院附属医院呼吸内科,泸州646000 [2]四川省泸州医学院附属医院感染管理科,泸州646000

出　　处：《现代预防医学》2010年第14期2757-2758,共2页Modern Preventive Medicine

摘　　要：[目的]分析首诊于呼吸内科的艾滋病患者的临床特征和误诊原因,为早期诊段和减少误诊提供依据。[方法]回顾性分析本院首诊于呼吸内科的42例艾滋病患者的临床资料。[结果]首诊于呼吸内科的艾滋病患者42例、其中男性30例;常见的临床症状为发热38例(90.5%)、咳嗽28例(66.7%),咳痰24例(57.1%),呼吸困难16例(38.1%);40例患者淋巴细胞计数或比率明显下降;胸部CT双肺毛玻璃样间质病变16例;感染途径以性接触传播为主为34例(80.1%);院外误诊漏诊40例,误漏诊率达95.2%。[结论]艾滋病患者容易首先就诊于呼吸内科,其临床表现无特异性、容易误诊漏诊;临床医生应提高认识并重视血清HIV抗体的检测,以早期诊断和治疗艾滋病。[Objective] To analysis the clinical features and misdiagnosis reasons of the acquired immune deficiency syndrome（AIDS）patients who first diagnosed by department of respiratory medicine in order to supply the basis for early diag-nosis and reduce misdiagnosis.[Methods] 42 AIDS cases who first diagnosed by department of respiratory medicine were re-viewed.[Results] There were 30 cases male patients in 42 AIDS cases who first diagnosed by department of respiratory medicine.The common symptoms were 38 cases with fever（90.5%）,28 cases with cough（66.7%）,24 cases with expectora-tion（57.1%）and 16 cases with dyspnea（38.1%）.The lymphocyte count or rate significant decreased in 40 cases.16 cases showed interstitial changes in chest CT image.34 cases（80.1%）infected by sexual transmitted.40 cases missed diagnosis out-side our hospital and the missed diagnosis rate was 95.2%.[Conclusion] The AIDS patients are easy to first visit by respiratory medicine doctor.The clinical manifestations of AIDS are not specific,and AIDS is easy to be misdiagnosed.Clinical doctors should improve the knowledge on AIDS and pay much attention to the check of HIV-Ab so as to get early diagnoses and treat-ment for AIDS patients.

关 键 词：艾滋病 临床特征 误诊 

分 类 号：R512.91[医药卫生—内科学]