CAJ | 학술논문

目的探讨成人人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)合并肺部病变的临床特点和影像学征象.方法收集我院2004年1月至2011年5月期间收治的12例HIV阳性伴肺部病变的住院患者病历资料,分别对年龄段、临床症状、体征以及辅助检查结果进行分析.结果 12例HIV感染患者均为男性,年龄(41.42±7.92)岁,入院前误诊为弥漫性间质性肺病的占75.00％,临床表现为非特异性呼吸道症状为主,其中发热75.00％,咳嗽41.67％,咯痰16.67％,气促91.67％.除1例外其他CD4+T细胞绝对值均＜100/μl,胸部CT大多表现为两肺弥漫性磨玻璃影,合并卡氏肺孢子菌肺炎更为常见,主要集中在肺门区域,上肺更为典型.结论由于免疫功能极度抑制,HIV/AIDS患者的临床症状及影像学不典型,容易误诊.对于肺部影像学表现为弥漫性间质性改变,呼吸道症状不明显,特别是以咳嗽、发热、气促为主,而咯痰少见的患者,应及时筛查HIV.
목적 탐토성인인류면역결함병독(HIV)/획득성면역결함종합정(AIDS)합병폐부병변적림상특점화영상학정상.방법 수집아원2004년1월지2011년5월기간수치적12례HIV양성반폐부병변적주원환자병력자료,분별대년령단、림상증상、체정이급보조검사결과진행분석.결과 12례HIV감염환자균위남성,년령(41.42±7.92)세,입원전오진위미만성간질성폐병적점75.00％,림상표현위비특이성호흡도증상위주,기중발열75.00％,해수41.67％,각담16.67％,기촉91.67％.제1예외기타CD4+T세포절대치균＜100/μl,흉부CT대다표현위량폐미만성마파리영,합병잡씨폐포자균폐염경위상견,주요집중재폐문구역,상폐경위전형.결론 유우면역공능겁도억제,HIV/AIDS환자적림상증상급영상학불전형,용역오진.대우폐부영상학표현위미만성간질성개변,호흡도증상불명현,특별시이해수、발열、기촉위주,이각담소견적환자,응급시사사HIV.
Objective To study the clinical characteristic and imaging findings of pulmonary infection in adult human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS).Methods The clincial date of 12 cases of pulmonary infection with HIV who were treated in Changhai Hospital from January 2004 to May 2011 were analyzed,including the clincial profiles,immunological status,chest radiological characteristics.Results All were men and almost had a CD4+ count less than 100/μl,average age was (41.42+7.92) years old.75.00％ of the patients were misdiagnosed as diffuse interstitial pneumonia.The symptoms included cough (41.67％),fever (75.00％),short of breath (91.67％).Typical imaging findings were bilateral diffuse ground grass opacities distributing in perihilar regions,which were more often found in PCP.Conclusions Because of the severe immunosuppression,the clinical symptoms and appearance of chest radiological charcteristics are not so typical.HIV antibody test should be taken for the person who has the symptom of fever,short of breath and cough with less sputum,and diffuse interstitial changes in the chest X ray or CT scan.