54例HIV/AIDS合并肺部感染临床分析  

Clinical analysis of pulmonary infection of HIV/AIDS

作　　者：周燕[1] 代吉[1] 胡蝶[1] 陈凤玲[1] 蒋贵平[1] 周蓉[1] 

机构地区：[1]都江堰市人民医院呼吸内科,四川都江堰611830

出　　处：《西部医学》2010年第10期1855-1857,共3页Medical Journal of West China

摘　　要：目的探讨需主动筛查免疫缺陷病毒(HIV)的肺部感染人群。方法收集我院2008年5月至2010年3月收治的54例肺部感染HIV阳性者临床资料,分别对年龄段、职业构成比例、临床症状特点、体征以及辅助检查特点进行分析。结果 54例患者最大81岁,最小26岁,平均51.91岁;其中男48例,平均年龄53.77岁,女6例,平均37.53岁;职业分布农民占72.22%,退休人员16.67%;症状表现:咳嗽75.93%,发热62.96%,气促或呼吸困难59.26%,咯痰33.33%,消瘦14.81%,心悸12.97%,乏力11.11%,纳差3.70%;辅助检查特点:间质性肺炎改变30例,肺炎变12例,支气管炎4例,肺结核或肺外结核9例,有胸腔积液的11例,肺部淋巴增大的11例,胸膜增厚8例,伴霉菌者5例。结论对呼吸道症状重,体征轻者;间质性肺炎者;伴结核、霉菌感染、带状疱疹者;肺部淋巴增大、胸膜增厚、胸腔积液者;症状较重且文化较低的30～40岁青壮年男女、50～70老年男性等人群要主动筛查HIV,防止误诊误治。Objective To study the pulmonary infection in HIV population.Methods Clinical data of 54 cases of pulmonary infection with HIV-positive were analyzed.Results The symptoms included cough（75.93%）,fever（62.96%）,shortness of breath or difficulty breathing（59.26%）,weight loss（14.81%）,palpitations（12.97%）,fatigue（11.11%） and lack of appetite（3.70%）.There were 30 cases with interstitial pneumonia,four cases with bronchitis,nine cases with tuberculosis or pulmonary tuberculosis,11 cases with pleural effusion,11 cases with pulmonary lymph increased,eigth cases with pleural thickening and 5 cases with hair fungus.Conclusion Severe symptoms and lower educational level,Young men and women 30-40 years old and 50-70 old men should screen HIV to prevent misdiagnosis.

关 键 词：艾滋病 肺部感染 间质性肺炎 卡氏肺囊虫 

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