以真菌性食管炎为首发表现的艾滋病患者的防护对策  

The protective measures of AIDS patients with fungal esophagitis as the initial presentation

作　　者：周钰静[1] 赖人旭[1] 张宝珍[1] 李春燕[1] 

机构地区：[1]中山大学附属第五医院消化内科,珠海519000

出　　处：《中国实用护理杂志》2012年第18期88-89,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨以真菌性食管炎为首发表现的艾滋病患者的临床特点及防护措施，提高非艾滋病专科医护人员对艾滋病的认识。方法回顾性总结了15例艾滋病并发食管真菌感染患者的临床表现和实验室及内镜检查结果，并总结医护人员的防护措施。结果本组病例的感染以性传播途径为主，均有吞咽困难、胸骨后疼痛、消瘦、发热、食欲减退、乏力等症状，均多次就诊于多家医院，最终经我院确诊。3例患者确诊后自动出院，余患者经抗真菌治疗及对症治疗好转后转我院感染科进一步治疗。在我科住院期间，无医源性感染的发生。结论非艾滋病专科医护人员应充分认识以真菌性食管炎为首发表现的艾滋病的临床特征，及时确诊及治疗，避免漏诊误诊，加强防护措施，尽可能的避免医源性感染的发生。Objective To study the clinical features and protective measures of AIDS with fun- gal esophagitis as the initial presentation, improve the knowledge of non- specialist medical staff of AIDS. Methods The clinical manifestations, laboratory tests, endoscopic examination, and medical pro- tective measures of 15 AIDS patients with fungal esophagitis were analyzed. Results The patients were infected through sexual transmission mainly, and manifestation included difficulty in swallowing, retrosternal pain, weight loss, fever, loss of appetite, fatigue and other symptoms. The patients got confirmed diagnosis by our hospital after visiting many other hospitals. 3 patients were automatically discharged after confirmed diagnosis, other patients improved after antifungal therapy and symptomatic treatment. No iatrogenic infec- tion occurred during hospitalization. Conclusions Non-specialist medical staff in AIDS should recognize the clinical features of AIDS, give timely confirmed diagnosis and treatment, avoid missed diagnosis and misdiagnosis, strengthen protective measures and avoid iatrogenic infection.

关 键 词：真菌性食管炎 艾滋病 防护 

分 类 号：R512.91[医药卫生—内科学]