艾滋病合并肺结核临床分析  

Clinical analysis for acquired immune deficiency syndrome complicated by pneumonophthisis

作　　者：傅满姣[1] 王慧[1] 肖钢 

机构地区：[1]湖南省长沙市中心医院胸科中心,湖南长沙410004 [2]湖南省长沙市第一医院艾滋病科,湖南长沙410000

出　　处：《中国现代医学杂志》2010年第3期445-447,共3页China Journal of Modern Medicine

摘　　要：目的探讨艾滋病合并肺结核的临床特点,以提高诊断和治疗水平。方法对30例艾滋病合并肺结核患者及30例单纯肺结核患者的资料进行回顾性分析。结果艾滋病合并肺结核的患者较单纯肺结核患者临床症状重,病情复杂,进展快,PPD试验阳性率低,排菌率高,X线表现不典型,联合治疗药物副作用较大。结论对有可疑HIV高危行为的肺结核患者,尤其是中青年患者常规做HIV检测,早发现,早治疗,预防和控制艾滋病和结核病的流行。【Objective】To investigate clinical characteristics of acquired immune deficiency syndrome compli-cated by pneumonophthisis,to improve the level of the diagnosis and therapy.【Method】The clinical data of 30 cases of acquired immune deficiency syndrome complicated by pneumonophthisis and 30 cases simple pneu-monophthisis was analyzed retrospectively【.Results】The clinical symptom of the patients of acquired immune deficiency syndrome complicated by pneumonophthisis is severer than the one of the patients of simple pneumonophthisis;pathogenetic condition is more complicated,progress more quickly;the rate of positive of PPD is lower;the level of discharge of the bacteria is higher;the display of x-ray is not typical;the side effects of drug combination is more heavier.【Conclusion】 The patients of pneumonophthisis with the high risk of acquired immune deficiency syndrome,especially the middle-aged and the young should make the detection of HIV conventionally,to be discovered earlier,to be treated earlier,to prevent and control the prevalence of the acquired immune deficiency syndrome and pneumonophthisis.

关 键 词：肺结核 艾滋病 临床分析 

分 类 号：R512.91[医药卫生—内科学]