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目的总结并发消化系统症状的艾滋病的临床特点,以提高对艾滋病的认识及诊断水平。方法对在消化科就诊的54例伴发消化系症状的艾滋病患者的临床表现和实验室资料进行回顾性分析。结果54例病例均有不同程度消瘦、乏力、厌食、贫血,其中霉菌性食道炎和腹泻为消化道最常见症状,多合并有食管、胃、肝、胆、肠道、淋巴结等多器官病变及功能损害,消化内镜下可见特异表现。结论艾滋病的临床表现复杂多样,常合并多系统多器官病变及功能损害,消化系统是最常受累的系统之一,消化系统症状常为该病的首发或者伴随症状,值得临床诊疗过程中高度重视。本组病例以性传播途径传染为主。
Objective To summarize the clinical features of AIDS with concurrent digestive system symptoms so as to improve the level of AIDS awareness and diagnosis. Methods The clinical manifestations and laboratory data of 54 AIDS patients with digestive symptoms were analyzed retrospectively. Results 54 cases had different degrees of weight loss, fatigue, anorexia and anemia. Among them, fungal esophagitis and diarrhea were the most common symptoms in the digestive tract, with multiple organ diseases including esophagus, stomach, liver, gall bladder, intestine and lymph nodes Functional impairment, digestive endoscopic visible specific performance. Conclusions The clinical manifestations of AIDS are complex and diverse. It is often associated with multiple system and multiple organ diseases and dysfunction. Digestive system is one of the most frequently affected systems. Digestive system symptoms are often the first or accompanying symptoms of the disease and deserve attention in clinical diagnosis and treatment . This group of patients infected with the main route of transmission.