CAJ | 학술논문

目的：探讨HIV／AIDS合并结核结核病的临床特点。方法对云南省传染病专科医院收治的126例HIV／AIDS合并结核病患者进行临床分析。结果肺结核例78例，淋巴结结核24例，结核性胸膜炎10例，结核性脑膜炎5例，肺结核合并淋巴结结核6例，肺结核合并结核性胸膜炎3例。126例患者中CD4＋T淋巴细胞计数：112±48个／μl，126例患者中34例痰涂片抗酸染色阳性，10例患者痰培养查出结核分枝杆菌。结论 AIDS患者的CD4＋T淋巴细胞水平越低越易发生结核病，HIV／AIDS合并结核病患者痰抗酸染色阳性及痰培养阳性率低，影像学不典型。
목적：탐토HIV／AIDS합병결핵결핵병적림상특점。방법대운남성전염병전과의원수치적126례HIV／AIDS합병결핵병환자진행림상분석。결과폐결핵례78례，림파결결핵24례，결핵성흉막염10례，결핵성뇌막염5례，폐결핵합병림파결결핵6례，폐결핵합병결핵성흉막염3례。126례환자중CD4＋T림파세포계수：112±48개／μl，126례환자중34례담도편항산염색양성，10례환자담배양사출결핵분지간균。결론 AIDS환자적CD4＋T림파세포수평월저월역발생결핵병，HIV／AIDS합병결핵병환자담항산염색양성급담배양양성솔저，영상학불전형。
Objectives To investigate co-infection with Mycobacterium Tuberculosis among HIV/AIDS individuals for Clinical diagnosis.Methods 126 cases of HIV/AIDS co-infection with Mycobacterium Tuberculosis were treated at Infectious disease hospi-tal in Yunnan Province as subjects.Results Of 76 cases, pulmonary tuberculosis were 78 cases, tuberculous lymphadenitis were 24 cases, tuberculous pleuritis were 10 cases, tuberculous meningitis were 5 cases, pulmonary and lymphnode tuberculosis were 6 cases, pulmonary tuberculosis and tuberculous pleuritis were 3 cases.CD4+T lymphocyte cell counts of all cases was 112 ±48/μl.The positive of acid-fast bacillus test of sputum smear were 34 cases, mycobacterium tuberculosis culturing were 10 cases.Con-clusions There is significant relationship between low CD4+T lymphocyte cell counts and the infection of Mycobacterium Tuberculo-sis in the HIV/AIDS patient.The positive of acid-fast bacillus test of sputum smear and mycobacteriumtuberculosis culturing is low among HIV/AIDS co-infection Mycobacterium Tuberculosis, imaging examination has atypical.