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目的:提高对艾滋病合并肺结核的临床特点的认识。方法:对我院于1998～2008年收治的22例艾滋病合并肺结核患者的病例资料进行回顾性分析。结果:22例患者中静脉吸毒史者14例(63.6%),21例(95.5%)持续发热2～6周,22例(100%)体重下降10～20 kg,腹泻9例(40.9%),皮肤粘膜苍白17例(77.3%),浅表淋巴结肿大11例(50%)。X线示:粟粒性病变,中下肺野浸润,肺门与纵隔淋巴结肿大。血红蛋白下降17例(77.3%),丙肝抗体阳性7例(31.8%)。结论:艾滋病合并结核病,在我区较常见,发病急,症状重,临床表现复杂,PPD阳性率低,X线表现不典型。对结核病与丙肝病人应常规检测HIV抗体。短程对抗结核治疗本病较为安全有效。
Aims: To raise awareness of the clinical features of HIV / AIDS complicated with tuberculosis. Methods: A retrospective analysis of 22 cases of AIDS patients with tuberculosis admitted to our hospital from 1998 to 2008 was conducted. Results: Among 22 patients, 14 cases (63.6%) had intravenous drug abuse history, 21 cases (95.5%) sustained fever for 2 ~ 6 weeks, 22 cases (100% 17 cases (77.3%) had mucocutaneous mucosa, and 11 cases (50%) had superficial lymph nodes. X-ray showed: miliary lesions, infiltration of the middle and lower lung fields, hilar and mediastinal lymph nodes. Hemoglobin decreased in 17 cases (77.3%), hepatitis C antibody positive in 7 cases (31.8%). Conclusion: HIV-associated tuberculosis is more common in our district with acute onset, severe symptoms and complicated clinical manifestations. The positive rate of PPD is low, and the X-ray manifestation is not typical. For tuberculosis and hepatitis C patients should routinely detect HIV antibodies. Short-term fight against tuberculosis treatment of the disease is more safe and effective.