摘要
目的研究眼科首诊确诊的AIDS病例的特点。方法搜集文献报道我院2000年3月-2006年3月眼科首诊确诊的AIDS患者的临床资料,进行回顾性分析,总结其特点。结果有全身表现者只有2例,主要表现为口腔多发性溃疡,反复不明原因发热。6例有不同程度眼部表现,主要表现为程度不一的视网膜棉绒斑、后极部片状、火焰状出血、Roth斑、毛细血管瘤、血管白鞘、黄斑区视网膜水肿,眼部带状疱疹者1例,眶部肿瘤者1例。结论AIDS可以是以眼科表现为主,且可以为首发,因此对于有特征性或无特征性眼部表现的患者都要高度警惕,及时排查,防止漏诊、误诊。
Objective To study the behaviors of AIDS which was first diagnosed in ophthalmology. Methods The clinical information of AIDS cases first diagnosed in ophthalmology between March 2000 and March 2006 were evaluated retrospectively. Results There were only 2 cases with systemic symptoms,including oral multiple ulcer and repeated fever of unknown origin;6 cases with different manifests in the eye area,such as different degrees of retinal cotton -wool spot ,piece and flamy haemorrhage in posterior retina, Roth-spot, retinal hemangioma, vascular white sheath, retinal edema of maeula; 1 ease with herpes zoster; 1 ease with orbital tumor. Conclusions AIDS may appear firstly in the eye area. The features in ophthalmology should be paid more attentions to prevent patients from misdiagnosis and missed diagnosis.
出处
《实用全科医学》
2007年第10期858-859,共2页
Applied Journal Of General Practice
关键词
获得性免役缺陷综合征
首诊
临床表现
Acquired immune deficiency syndrome
First diagnosed
Clinical manifestation