CAJ | 학술논문

目的探讨艾滋病合并肺结核患者的临床及CT影像特征,提高对艾滋病合并肺结核的临床诊治水平.方法回顾分析我院2011年收治的118例“艾滋病合并肺结核”患者的感染途径、临床表现、实验室检查、CT影像表现、治疗转归等特点.结果在118例患者中男性多于女性；青、壮年占绝大多数；感染途径以静脉吸毒多见；临床表现为持续发热,咳嗽、咳痰,明显消瘦和淋巴结肿大；CT表现89.8%为继发型肺结核,血行播散型肺结核仅占10.1%,但有32.2%的患者伴有一侧或双侧胸膜腔积液；有3例治愈,18例未愈,31例死亡,66例好转出院.结论在HIV感染者与AIDS患者中开展常规结核病的筛查工作,尤其对颃固性发热1个月以上,伴有明显消瘦、咳嗽、咳痰者,更应列为重点筛查对象,反复查痰,注意临床症状及CT影像学表现的不同特点,做到早发现,早治疗,遏制该病的蔓延.
목적탐토애자병합병폐결핵환자적림상급CT영상특정,제고대애자병합병폐결핵적림상진치수평.방법회고분석아원2011년수치적118례“애자병합병폐결핵”환자적감염도경、림상표현、실험실검사、CT영상표현、치료전귀등특점.결과재118례환자중남성다우녀성；청、장년점절대다수；감염도경이정맥흡독다견；림상표현위지속발열,해수、해담,명현소수화림파결종대；CT표현89.8%위계발형폐결핵,혈행파산형폐결핵부점10.1%,단유32.2%적환자반유일측혹쌍측흉막강적액；유3례치유,18례미유,31례사망,66례호전출원.결론재HIV감염자여AIDS환자중개전상규결핵병적사사공작,우기대항고성발열1개월이상,반유명현소수、해수、해담자,경응렬위중점사사대상,반복사담,주의림상증상급CT영상학표현적불동특점,주도조발현,조치료,알제해병적만연.
Objective To explore clinical manifestations and CT performance characteristics of amalgamative AIDS tuberculosis, for improving clinical diagnosis and treatment of AIDS with pulmonary tuberculosis. Methods The clinical data and CT manifestations of 118 patients who had already diagnosed with AIDS amalgamative tuberculosis were analyzed. Results There are more men infected than women in the 118 patients; they are infected by intravenous drug in common. The clinical manifestations are persistent fever, cough, sputum production, and significant weight loss and swollen lymph nodes. According to CT date, there is 89.8% of secondary pulmonary tuberculosis, hematogenous disseminated tuberculosis accounted for only 10.1%, however there are 32.2% of patients with unilateral and bilateral pleural effusion. There are three cases cured, 18 cases did not cure, 31 cases dead and 66 cases were better than hospitalized has returned home. Conclusion Carrying out routine TB screening in HIV-infected and AIDS patients, especially fly down solidity fever for more than a month. Associated with significant weight loss, cough, expectoration, as a key screening object, Repeated sputum, Note the different characteristics of the clinical symptoms and CT imaging, early detection, early treatment, to curb the spread of the disease.