CAJ | 학술논문

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.
목적 탐토이진균성식관염위수발표현적애자병환자적림상특점급방호조시,제고비애자병전과의호인원대애자병적인식.방법 회고성총결료15례애자병병발식관진균감염환자적림상표현화실험실급내경검사결과,병총결의호인원적방호조시.결과 본조병례적감염이성전파도경위주,균유탄인곤난、흉골후동통、소수、발열、식욕감퇴、핍력등증상,균다차취진우다가의원,최종경아원학진.3례환자학진후자동출원,여환자경항진균치료급대증치료호전후전아원감염과진일보치료.재아과주원기간,무의원성감염적발생.결론 비애자병전과의호인원응충분인식이진균성식관염위수발표현적애자병적림상특정,급시학진급치료,피면루진오진,가강방호조시,진가능적피면의원성감염적발생.
Objective To study the clinical features and protective measures of AIDS with fungal esophagitis as the initial presentation,improve the knowledge of non-specialist medical staff of AIDS. Methods The clinical manifestations,laboratory tess.endoscopic examination,and medical protective measures of 15 AIDS patients with fungal esophagitis were analyzed. Reults The patients were infected through sexual transmission mainly,and manifestation included difficuhy in swallowing,retrostemal 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 impreved after antifimgal therapy and symptomatic treatment.No iatrogenic infection 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.