摘要
目的探讨艾滋病合并肺结核的临床特点及治疗。方法对64例艾滋病合并肺结核患者资料进行分析研究。结果64例患者人类免疫缺陷病毒(HIV)感染途径为静脉吸毒(79.7%)及性途径(18.7%)。临床表现有持续发热(96.8%),咳嗽(81.2%),腹泻(32.8%),结核菌纯蛋白衍生物试验(PPD)试验阴性率78.1%,全身浅表淋巴结肿大(71.9%),胸部X线表现以继发性肺结核为主(65.6%),经抗结核及抗HIV病毒治疗,大部分患者症状体征及胸片改善。抗结核不良反应发生率高。结论艾滋病合并肺结核常发病急,症状重,PPD试验阳性率低,抗结核药物治疗不良反应多,临床应尽可能同时进行抗结核与抗HIV病毒治疗,应提高艾滋病高发区及高危人群肺结核患者并发艾滋病的警惕性。
Objective To investigate the clinical characteristics of acquired immunodeficiency syndrome (AIDS) complicated with pulmonary tuberculosis (PTB) and the treatment.Methods Sixty-four inpatients diagnosed AIDS complicated with PTB were analyzed retrospectively.Results The route of infection in 64 HIV cases were intravenous injection of narcotic(79.7%) and sexual transmission(18.7%);the clinical presentations were fever(96.8%),cough(81.2%),diarrhea (33.8%),swelling of lymph node(71.9%) and the negative rate of PPD test was 78.1%.The common presentation of chest X-ray was secondary PTB(65.6%).After anti-TB and anti-HIV therapits,most of the symptoms,signs and X-ray presentations were improved.The rate of adverse reaction of anti-TB was higher.Conclusion AIDS complicated with PTB is often acute and critical,PPD test positive rate is higher.These patients should be treated with coincident anti-TB and anti-HIV therapies.It needs to enhance the rigilance for the PTB patients to be complicated with AIDS in HIV prevelance area and high risk population.
出处
《检验医学与临床》
CAS
2006年第8期361-362,共2页
Laboratory Medicine and Clinic
关键词
艾滋病
肺结核
吸毒
Acquired immunodeficiency syndrome
Pulmonary tuberculosis
Narcotic
