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目的探讨H IV/AIDS合并肺部感染的临床特点,提高认识,以减少误诊及漏诊。方法对28例H IV/AIDS合并肺部感染的病例进行回顾性分析。结果28例患者的临床表现共同特征为发热、咳嗽、消瘦和乏力等;细菌性肺炎15例(53.6%),肺结核5例(17.9%),卡氏肺孢子肺炎3例(10.7%),真菌性肺炎3例(10.7%),双肺间质性肺炎2例(7.1%)。结论肺部感染是H IV/AIDS患者的主要机会性感染,病原包括细菌、结核杆菌、真菌等,病程多反复,迁延不愈。
Objective To investigate the clinical features of H IV / AIDS complicated pulmonary infection and to raise awareness so as to reduce misdiagnosis and missed diagnosis. Methods 28 cases of H IV / AIDS complicated with pulmonary infection were retrospectively analyzed. Results The common clinical manifestations of 28 patients were fever, cough, emaciation and fatigue. Bacterial pneumonia in 15 cases (53.6%), tuberculosis in 5 cases (17.9%), Pneumocystis carinii pneumonia in 3 cases (10.7%), Three cases of pneumonia (10.7%), interstitial pneumonia in two cases (7.1%). Conclusions Pulmonary infection is the main opportunistic infection in H IV / AIDS patients. The pathogen includes bacteria, Mycobacterium tuberculosis, fungi and so on. The course of the disease is repeated and prolonged.