北京医学
北京醫學
북경의학
BEIJING MEDICAL JOURNAL
2010年
3期
187-189
,共3页
杰恩斯·加帕尔%提力瓦力地%哈力木拉提
傑恩斯·加帕爾%提力瓦力地%哈力木拉提
걸은사·가파이%제력와력지%합력목랍제
艾滋病%肺结核%临床特点%治疗
艾滋病%肺結覈%臨床特點%治療
애자병%폐결핵%림상특점%치료
AIDS Tuberculosis%Clinical features%Treatment
目的 探讨艾滋病合并肺结核的临床特点及治疗方法. 方法 总结123例艾滋病合并肺结核患者的临床资料. 结果 123例患者均为青壮年人.平均年龄31岁,无业67例(54%).感染途径:静脉注射毒品92例(75%),性乱史18例(15%),不详13例(11%).临床特点:发113热例(82%),消瘦112例(9l%),全身酸痛,乏力,纳差121例(98%),咳嗽118例(96%),咳痰107例(87%),腹泻38例(31%),浅表淋巴结肿大37例(30%).X线特点:双肺与中下肺叶浸润病灶为主,肺门纵膈淋巴结肿大,急性血播,薄壁空洞型肺结核并支气管播散病灶与胸膜炎病人多见.合并丙型肝炎34例(28%),乙型肝炎9例(7%),梅毒4例(3%),带状疱疹7例(6%).经抗结核治疗后患者症状、体征、胸片病灶明显好转,部分痰涂片转阴. 结论 艾滋病合并肺结核常发病急,症状重,原有结核病特点不典型.临床医师应重视艾滋病合并肺结核的临床特点,X线特点.抗结核治疗对本病较为安全.对肺结核,HCV感染等,带状疱疹病人应常规监测HIV抗体.
目的 探討艾滋病閤併肺結覈的臨床特點及治療方法. 方法 總結123例艾滋病閤併肺結覈患者的臨床資料. 結果 123例患者均為青壯年人.平均年齡31歲,無業67例(54%).感染途徑:靜脈註射毒品92例(75%),性亂史18例(15%),不詳13例(11%).臨床特點:髮113熱例(82%),消瘦112例(9l%),全身痠痛,乏力,納差121例(98%),咳嗽118例(96%),咳痰107例(87%),腹瀉38例(31%),淺錶淋巴結腫大37例(30%).X線特點:雙肺與中下肺葉浸潤病竈為主,肺門縱膈淋巴結腫大,急性血播,薄壁空洞型肺結覈併支氣管播散病竈與胸膜炎病人多見.閤併丙型肝炎34例(28%),乙型肝炎9例(7%),梅毒4例(3%),帶狀皰疹7例(6%).經抗結覈治療後患者癥狀、體徵、胸片病竈明顯好轉,部分痰塗片轉陰. 結論 艾滋病閤併肺結覈常髮病急,癥狀重,原有結覈病特點不典型.臨床醫師應重視艾滋病閤併肺結覈的臨床特點,X線特點.抗結覈治療對本病較為安全.對肺結覈,HCV感染等,帶狀皰疹病人應常規鑑測HIV抗體.
목적 탐토애자병합병폐결핵적림상특점급치료방법. 방법 총결123례애자병합병폐결핵환자적림상자료. 결과 123례환자균위청장년인.평균년령31세,무업67례(54%).감염도경:정맥주사독품92례(75%),성란사18례(15%),불상13례(11%).림상특점:발113열례(82%),소수112례(9l%),전신산통,핍력,납차121례(98%),해수118례(96%),해담107례(87%),복사38례(31%),천표림파결종대37례(30%).X선특점:쌍폐여중하폐협침윤병조위주,폐문종격림파결종대,급성혈파,박벽공동형폐결핵병지기관파산병조여흉막염병인다견.합병병형간염34례(28%),을형간염9례(7%),매독4례(3%),대상포진7례(6%).경항결핵치료후환자증상、체정、흉편병조명현호전,부분담도편전음. 결론 애자병합병폐결핵상발병급,증상중,원유결핵병특점불전형.림상의사응중시애자병합병폐결핵적림상특점,X선특점.항결핵치료대본병교위안전.대폐결핵,HCV감염등,대상포진병인응상규감측HIV항체.
Objective Discussion of AIDS associated with tuberculosis in the clinical featueros and treatment. Methods The clinical analysis of the 123 cases of AIDS-associated with tuberculosis patinenets. Results 123 cases were young and middle-aged patients,the average age of in July 1998-2008 of them are 31 years old,67 cases (54%).Path of infections IVDV use 92 cases (75%).Clinicalfeatures:fever(92%),weightless(91%),pain,fatigue,anorexia(98%),cough (96%),expectoration (87%),diarrhea (31%).Superficial lymphadeno -pathy (30%).X -ray features:infiltrative tuberculosis,lung infiltration,the middle and lower lobe lesions axe common,mainly about Thin-walled caviar pulmonary tuberculosis and bronchial lesions disseminated,Hilary and mediastinal lymph nodes pleurisy,mostly patients with acute blood sowing.Combined hepatitis C (28%),hepatitis B (7%),syphilis (3%),and herpes zostor (6%).By most patients after treatment of anti-tuberculosis symptoms,signs,chest lesions improved significantly,some patients with negative sputum smear. Conclusions AIDS-associated tuberculosis in often acute and severe symptoms,the original characteristics of atypical tuberculosis are not special.Great importance to clinical of AIDS-associated tuberculosis in the clinical feature's-ray features.Anti-tuberculosis treatment of this disease is safer.Tuberculosis,HCV,herpes zoster patients and routine monitoring HIV antibodies.
