摘要
目的提高对人类免疫缺陷病毒感染者及艾滋病患者在耳鼻咽喉头颈外科临床表现的认识，以便能及时诊治并做好必要的防护。方法分析55例坦桑尼亚首诊于耳鼻咽喉头颈外科的HIV感染者及艾滋病患者的临床表现及其预后。55例患者中男23例，女32例；年龄3～67岁，中位年龄3l岁。结果55例患者中腮腺肿胀17例次（30．9％）；鼻腔、口腔、咽部卡波西肉瘤19例次（34．5％）；慢性化脓性中耳炎12例次（21．8％）；颈部肿块11例次（20．0％）；咽部肿物7例次（12．7％）；口腔及咽部黏膜糜烂溃疡6例次（10．9％）；口腔白色念珠菌感染2例次（3．6％）。HIV感染者或艾滋病患者经治疗后耳鼻咽喉科感染状况可缓解，但易反复发作，且逐渐加重。结论HIV感染者及艾滋病患者可首诊于耳鼻咽喉头颈外科。对耳鼻咽喉科感染等治疗缓解后反复发作者，应除外是否合并HIV感染或是否为艾滋病患者。
Objective To improve the recognition of clinical manifestation of human immunodeficiency virus （HIV） infection and acquired immunodeficiency syndrome （AIDS） in otorhinolaryngology head and neck surgery, and to emphasize the early diagnosis, correct treatment and effective protection. Methods Fifty-five patients with HIV infection and AIDS encountered in the department of otorhinolaryngology head and neck surgery in Tanzania were included in this study. There were 23 males and 32 femals with age ranged from 3 -67 years, medium 31 year. The clinical manifestation and prognosis of the patients were analyzed and summed up. Results Parotid glands swelling was the most commonly seen clinical manifestation in the 55 cases. Among the cases reported here, 17（30.9% ） showed parotid glands swelling, 19 （ 34. 5% ） had Kaposi＇ s sarcoma in nasal cavity or oral cavity or pharynx, 12（21.8% ） were accompanied with chronic suppurative otitis media, 11 （20.0%） had masses in the neck, 7 （12.7%） had masses in the pharynx, 6（ 10.9% ） were seen to have ulcer in oral and pharyngeal mucosa, 2（3.6% ） showed infection due to candidaalbicans. The infection in most cases could be controlled and symptoms relieved, but recurrence could occur over time and got worse gradually. Conclusions Many patients with HIV infection and AIDS first see a doctor in otorhinolaryngology head and neck surgery. Patients who had the above clinical manifestations in repeated poor results should be observed carefully, early diagnosis and treatment are important to prevent transmission, prolong life and maximize the quality of life of the patients.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第3期232-234,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
