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作 者:孙春枝[1] 邓爱花[1] 刘阳[1] 熊玉红[1] 肖小灏[1] 刘兰贞[1] 李静虹[1]
机构地区:[1]江西省胸科医院,江西330006
出 处:《当代医学》2015年第34期3-4,共2页Contemporary Medicine
基 金:江西省科技支撑计划项目(00318131120917026)
摘 要:目的探讨艾滋病合并肺结核病的临床特点以及治疗方法,为今后的临床诊治工作提供可靠的参考依据。方法抽取临床明确诊断的艾滋病合并肺结核患者32例作为观察组,另抽取同期获得临床明确诊断的HIV阴性单纯肺结核患者32例作为对照组,对2组患者的临床资料展开回顾性对比分析。结果经统计发现,观察组患者发热发生率为90.63%,对照组发热发生率为56.25%,2组差异有统计学意义(P<0.05);观察组患者体质量减轻发生率为100.00%,对照组为28.13%,2组差异有统计学意义(P<0.05);2组咳嗽、咯血和贫血比较差异有统计学意义(P<0.05);观察组患者与对照组患者粟粒样改变、浸润灶等影像学特征比较差异无统计学意义;2组患者在合并空洞、合并胸腔积液和淋巴结转移上差异有统计学意义(P<0.05);观察组PPD反应阳性率较对照组发生显著降低(P<0.05)。结论艾滋病合并结核病的临床表现复杂多样,不具有典型性,临床应对其早期筛查工作给予重视。Objective Merger on AIDS tuberculosis paper discusses the clinical characteristics and treatment methods, and provide reliable reference for future clinical diagnosis and treatment work. Methods Extraction clinical diagnosis of AIDS tuberculosis patients as observation group, 32 cases of the extraction in the same period for clinical diagnosis of HIV negative pulmonary tuberculosis patients with pure 32 cases as control group, the comparison and analysis the clinical data of two groups of patients.Results The statistics found in the observation group was 90.63% in patients with fever occurred in the control group, the rate was 56.25% body mass of patients in the observation group to reduce the incidence rate of 100.00%, the control group was 28.13%; two groups of patients tuberculosis X-ray showed no statistically significant; imaging showed pleural effusion was higher than that observed in control group (P〈0.05); PPD-positive rate of the observation group than in the control group had significantly lower (P〈0.05). Conclusion The clinical manifestations of AIDS tuberculosis complicated, not typical, clinical response to its early screening work seriously.
关 键 词:获得性免疫缺陷综合征 结核病 临床特点 治疗
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