CAJ | 학술논문

目的探讨艾滋病合并肺结核患者临床的特点.方法对我院2006年1月至2012年10月间27例艾滋病合并肺结核的临床表现、实验室检查、X线、CT表现及治疗等进行综合分析.结果咳嗽10例、发热3例,纳差、乏力25例,盗汗8例,消瘦、贫血15例.X线及CT表现均呈斑片状、云絮状高密度影,以肺尖部锁骨上下区为主者25例,下叶背段2例, D4+T淋巴细胞在100cell/μl~200cell/μl者15例,小于100cell/μl者12例.结论艾滋病合并肺结核患者结核中毒症状不典型,临床容易忽视,以消瘦、贫血、纳差、乏力、咳嗽为主,病变分布及影像学表现尚符合常见肺结核分布特点,治疗仍以常规化疗为主,艾滋病合并肺结核如能及早发现并及时救治,可明显降低患者死亡率.
목적탐토애자병합병폐결핵환자림상적특점.방법대아원2006년1월지2012년10월간27례애자병합병폐결핵적림상표현、실험실검사、X선、CT표현급치료등진행종합분석.결과해수10례、발열3례,납차、핍력25례,도한8례,소수、빈혈15례.X선급CT표현균정반편상、운서상고밀도영,이폐첨부쇄골상하구위주자25례,하협배단2례, D4+T림파세포재100cell/μl~200cell/μl자15례,소우100cell/μl자12례.결론애자병합병폐결핵환자결핵중독증상불전형,림상용역홀시,이소수、빈혈、납차、핍력、해수위주,병변분포급영상학표현상부합상견폐결핵분포특점,치료잉이상규화료위주,애자병합병폐결핵여능급조발현병급시구치,가명현강저환자사망솔.
@@@@Discuss AIDS merged tuberculosis patients clinical characteristics. Method In our January 2006-2012 between October 27 cases of AIDS merged the clinical manifestations of pulmonary tuberculosis laboratory X-ray CT manifestations and treatment of comprehensive analysis. Result Cough ten cases of fever in 3,weak 25 cases,night sweats,8 cases of angular ane-mia 15 cases X-ray and CT manifestations are patchy high-density shadow,pulmonary mucro collarbone and the principal areas of 25 cases,blade back section,2 cases of D4+T lymphocytes in 100 cell/μl~200 cell/μl is 15 cases,less than 100 cell/μl person in 12 cases. Conclusion AIDS merged tuberculosis patients tuberculosis poisoning symptoms are not typical,clini-cal easily ignored,with thin anemia NaCha weak cough is given priority to,lesion distribution and imaging findings are accord with common tuberculosis distribution characteristics,treatment is still to conventional chemotherapy is given priority to,AIDS amalgamative tuberculosis if detected early and timely treatment,can obviously reduce patients mortality