论文部分内容阅读
目的:分析HIV感染者和AIDS患者常见口腔病损,以期提高临床医师对AIDS早期临床表现的认识,提高早期诊断准确性。方法:回顾分析72例HIV/AIDS患者临床症状、体征和实验室检查,分析口腔病损在AIDS早期诊断中的意义及与病程进展的关系。结果:常见口腔病变有:口腔白色念珠菌病、疱疹性口炎、非特异性口腔溃疡,其它病损如颌面部淋巴结炎、毛状白斑、卡波济肉瘤、带状疱疹、涎腺肿大,牙周病等,可单发或同时伴发。全身系统性疾病主要包括:肺炎、慢性腹泻、结核等。结论:AIDS患者发病前已开始出现明显口腔表现,其中以口腔白色念珠菌感染最为常见,对非法采供血、输血、静脉吸毒或不安全性行为等特殊人群,如出现难以治愈的“霉菌性口炎”或反复发作、原因不明的疱疹性口炎,或出现毛状白斑、卡波济肉瘤等口腔病变,应及时进行HIV检测。
OBJECTIVE: To analyze the common oral lesions in HIV-infected and AIDS patients in order to improve clinicians’ understanding of early clinical manifestations of AIDS and improve the accuracy of early diagnosis. Methods: The clinical symptoms, signs and laboratory tests of 72 HIV / AIDS patients were retrospectively analyzed. The significance of oral lesions in the early diagnosis of AIDS and its relationship with the course of disease were analyzed. Results: Common oral diseases were oral candidiasis, herpetic stomatitis, nonspecific oral ulcer, other lesions such as maxillofacial lymphadenitis, hairy white spot, Kaposi’s sarcoma, shingles, salivary gland enlargement , Periodontal disease, etc., can be single or accompanied by the same time. Systemic diseases include: pneumonia, chronic diarrhea, tuberculosis and so on. CONCLUSIONS: AIDS patients have begun to show obvious oral manifestations before onset, of which oral Candida albicans infection is the most common. For illegal blood supply, blood transfusion, intravenous drug use or unsafe sexual behavior and other special populations, such as the emergence of difficult to cure Stomatitis "or recurrent, unexplained herpetic stomatitis, or hairy white spots, Kaposi’s sarcoma and other oral lesions, HIV testing should be promptly.