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目的:探讨艾滋病合并重症肺炎患者的临床诊疗方法及效果。方法:随机选取2010年9月-2013年9月在昆明市第三人民医院治疗的艾滋病合并重症肺炎患者70例,回顾性分析患者的临床资料,给予抗感染、呼吸支持及糖皮质激素治疗,分析治疗的效果。结果:70例患者中,发热症状70例,占比100%、呼吸困难70例,占比100%,咳嗽症状36例,占比51.4%,痰培养获得病原阳性率82.6%、血液培养获得病原阳性率13.0%,BALF培养获得病原阳性率22.2%,67例患者CD4计数低于50/ul。结论:艾滋病合并重症肺炎的病原以叶卡氏肺孢子菌感染、结核杆菌为主,患者预后较差。
Objective: To explore the clinical diagnosis and treatment of AIDS patients with severe pneumonia and its effects. Methods: Seventy patients with AIDS complicated with severe pneumonia who were treated in Kunming Third People’s Hospital from September 2010 to September 2013 were randomly selected. The clinical data of the patients were retrospectively analyzed. Anti-infective, respiratory support and glucocorticoid treatment were given. Analysis of the effect of treatment. Results: Among the 70 patients, 70 cases had fever symptoms, accounting for 100%, 70 cases of dyspnea, accounting for 100%, 36 cases of cough (accounting for 51.4%), the positive rate of sputum culture was 82.6% The positive rate was 13.0%. The positive rate of pathogen in BALF culture was 22.2%. The CD4 count in 67 patients was lower than 50 / ul. Conclusion: The pathogen of AIDS complicated with severe pneumonia is infected with Pseudomonas putida and Mycobacterium tuberculosis, with poor prognosis.