CAJ | 학술논문

目的：总结艾滋病（AIDS）的临床特征，以提高对其感染的认识。方法：分析80例临床AIDS晚期病人的资料。结果：静脉吸毒者39位，性传播途径18例，输血感染者8例，传播途径不详15例。合并有乙型病毒性肝炎者7例，其中5例检出HBVDNA；合并丙型病毒性肝炎者21例，其中16例检出HCVRNA；HBV与HCV混合感染者4例。CD4（HIV攻击的靶淋巴细胞）细胞计数（4-180）×109/L。所有患者均出现机会性感染症状。31例患者合并结核最常见，20例患者以严重肺部及全身感染，其次为呼吸衰竭死亡。死于卡氏肺孢子虫肺炎12例，特发性血小板减少性紫癜11例，结核性脑膜炎11例，HIV相关性脑病10例，弓形体脑病8例。结论：艾滋病患者机会性感染较为常见，也是其主要致死原因之一，应及时进行高效抗逆转录病毒治疗（HARRT），必要时要进行心理疏导。
목적：총결애자병（AIDS）적림상특정，이제고대기감염적인식。방법：분석80례림상AIDS만기병인적자료。결과：정맥흡독자39위，성전파도경18례，수혈감염자8례，전파도경불상15례。합병유을형병독성간염자7례，기중5례검출HBVDNA；합병병형병독성간염자21례，기중16례검출HCVRNA；HBV여HCV혼합감염자4례。CD4（HIV공격적파림파세포）세포계수（4-180）×109/L。소유환자균출현궤회성감염증상。31례환자합병결핵최상견，20례환자이엄중폐부급전신감염，기차위호흡쇠갈사망。사우잡씨폐포자충폐염12례，특발성혈소판감소성자전11례，결핵성뇌막염11례，HIV상관성뇌병10례，궁형체뇌병8례。결론：애자병환자궤회성감염교위상견，야시기주요치사원인지일，응급시진행고효항역전록병독치료（HARRT），필요시요진행심리소도。
Objective: Summary of AIDS (AIDS) clinical characteristics in order to raise awareness of the infec-tion. Method Analysis of 80 cases of advanced AIDS patients ' data. Results Injecting drug users in 39, 18 cases of sexual transmission, blood transfusion infection 8, route of transmission is unknown in 15 cases. 7 cases of patients with hepatitis b, of which 5 cases detected HBVDNA;21 patients complicated with viral hepatitis c, with 16 cases of detectable HCV RNA;HBV credit HCV mixed infection of 4 examples. CD4 (target HIV attacks lymphocytes) count (4-180) x109/L. All patients with opportunistic infections symptoms. 31 cases of patients with TB is most common, and 20 patients with severe pulmonary and systemic infections, followed by respiratory failure and death. Died of PCP in 12 cases, 11 cases of Idiopathic Thrombocytopenic Purpura, 11 cases of tuberculous meningitis, HIV-associated encephalopathy in 10 cases, 8 cases of Toxo encephalopathy. Conclusion Opportunistic infections in AIDS patients is more common, is also one of the main cause of death.Should be carried out promptly HARRT, if necessary, to carry out psychological counseling.