摘要
目的了解艾滋病（AIDS）死亡病例的临床特点,以更好地指导临床防治工作。方法对佑安医院2000年1月至2011年12月收治的104例AIDS死亡病例进行回顾性分析。结果 104例AIDS死亡病例中,20~50岁者占83.4%,男性占75.96%,CD＋4T淋巴细胞计数平均值为（74±42）个/μL,病毒载量平均值为（55 300±5 610）拷贝/mL,性途径传播占33.5%。常见的并发症有贫血、白色念珠菌感染、结核菌感染、肺孢子菌肺炎（PCP）、病毒性肝炎等。AIDS病人主要直接死因包括PCP、结核菌感染、隐球菌性脑膜炎及严重肝损害等。结论常见的机会性感染及相关并发症是AIDS病人的主要死亡原因,在临床诊疗中应予以重点关注。
Objective To characterize the clinical features of AIDS death cases and guide the clinical practice.Methods Retrospectively analysis has been done with clinical data of 104AIDS death cases from Jan.2000to Dec.2011in Beijing You'an Hospital.Results Most of death cases among AIDS patients were 20-50years old(83.4%),male patients occupied 75.96%.The average CD+ 4 T count and viral load were 74±42/μL and 55300± 5610copies/mL,respectively.Sexual transmission was the dominant route(33.5%)among death cases.Anemia,candidiasis,TB infection,PCP and viral hepatitis,were most common complications,while PCP,TB infection,cryptococcal meningitis and severe liver damage were considered as the main direct causes of the death.Conclusions It suggets that the common opportunistic infections and related complications are the main causes of death among AIDS patients,which should be paid more attention in the clinical diagnosis.
出处
《中国艾滋病性病》
CAS
2013年第9期626-628,共3页
Chinese Journal of Aids & STD
基金
首都医科大学附属北京佑安医院佑安肝病艾滋病基金项目(BJYAH-2011-019)
