艾滋病合并机会性感染104例临床分析  

The clinical analysis of opportunistic infections in 104 patients with acquired immuno deficiency syndrome(AIDS)

作　　者：魏艳艳[1] 邹桂舟[1] 叶珺[1] 郜玉峰[1] 夏国美[1] 李芳[1] 

机构地区：[1]安徽医科大学第二附属医院感染肝病科,安徽合肥230601

出　　处：《安徽医药》2016年第4期679-682,共4页Anhui Medical and Pharmaceutical Journal

基　　金：安徽高校省级自然科学基金(No KJ2014A107)

摘　　要：目的总结和分析艾滋病患者合并机会性感染的临床特点和预后。方法回顾性分析安徽医科大学第二附属医院收治的104例确诊为艾滋病(AIDS)患者合并机会性感染的临床资料。结果收治AIDS患者104例,共发生机会性感染约162次,其中以呼吸道和消化道感染受累最多见,病原菌主要类型为细菌、真菌、结核杆菌、巨细胞病毒和卡氏肺孢子虫多见。结论AIDS并发呼吸道和消化道的机会性感染明显高于其他系统,且与CD4+T细胞数值相关。肺部感染常以混合感染为主,其中以细菌和真菌为主;巨细胞病毒和结核杆菌为最常见机会性感染。Objective To summarize and analyze the clinical characteristics and prognosis of HIV/AIDS patients infected by opportun-istic infections.Methods Retrospectively analyzed the clinical data of 104 patients diagnosed with AIDS combined with opportunistic infections in the Second Affiliated Hospital of Anhui Medical University from 2010 to 2015.Results In the 104 cases,about 162 of opportunistic infections occured, of which respiratory and digestive tract are the most affected.The opportunistic pathogens mainly in-clude bacteria, fungi, tuberculosis, CMV and pneumocystis carinii.Conclusions AIDS complicated with respiratory and digestive tract infections are significantly higher than other systems, which is associated with the number of CD4＋.Pulmonary infection is usual-ly mixed infection,mainly of bacteria and fungi; CMV and mycobacterium tuberculosis are the most common opportunistic infections.

关 键 词：艾滋病 CD4+T 细胞 机会性感染 肺部感染 

分 类 号：R512.91[医药卫生—内科学]