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目的:对艾滋病合并弓形虫脑病患者的临床治疗效果进行探讨。方法:选取2005年6月-2014年11月保山市人民医院收治的成人艾滋病患者584例〔均为人类免疫缺陷病毒(HIV)抗体初筛阳性并在市疾病预防控制中心确诊〕中并发弓形虫脑病的患者42例,使用阿奇霉素+复方磺胺甲恶唑或阿奇霉素+克林霉素(复方磺胺甲恶唑过敏者)的治疗方案进行治疗,通过回顾性分析法对患者的临床资料进行分析。结果:38例患者的临床症状与影像学检查均明显改善,病灶缩小明显,好转出院,剩余4例患者死亡。结论:艾滋病合并弓形虫脑病的确诊存在一定的难度,容易出现误诊,需要医务人员进行全面诊断,并及时给予药物治疗与辅助治疗,以提高患者的临床治疗效果,降低死亡率,保障患者的生命安全。
Objective: To investigate the clinical effect of AIDS in patients with toxoplasmosis. Methods: A total of 584 adult AIDS patients admitted to Baoshan People’s Hospital from June 2005 to November 2014 (all were positive for HIV antibody screening and confirmed by the Municipal Center for Disease Control and Prevention) Encephalopathy patients 42 cases, the use of azithromycin + sulfamethoxazole or azithromycin + clindamycin (compound sulfamethoxazole allergy were) treatment of patients treated by retrospective analysis of the clinical data of patients were analyzed. Results: The clinical symptoms and imaging examination of 38 patients were significantly improved. The lesions were reduced obviously and discharged. The remaining 4 patients died. Conclusion: The diagnosis of AIDS complicated with toxoplasmosis is difficult and prone to misdiagnosis. It requires medical staff to make a comprehensive diagnosis and provide timely medical treatment and adjuvant therapy to improve the clinical effect, reduce the mortality and protect the life of the patient Safety.