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目的探讨艾滋病(AIDS)合并耶氏肺孢子菌肺炎(PCP)的诊断和治疗。方法回顾性分析我院2015年9月至2016年9月收治的67例艾滋病合并耶氏肺孢子菌肺炎的临床资料。结果 67例患者中,发热52例(77.61%),咳嗽62例(92.53%),气促67例(100%),消瘦56例(83.58%),胸部CT表现为不同程度两肺磨玻璃样改变58例(86.56%),血气分析示低氧血症67例(100%)CD4+T细胞〈200个/u L64例(95.52%)治疗使用复方磺胺甲噁唑片联合克林霉素静滴,54例(80.59%)好转,6例(8.95%)放弃治疗,7例(10.44%)死亡。结论 PCP是AIDS患者最常见机会性感染,早发现、早治疗能提高治愈率,减少死亡率。
Objective To investigate the diagnosis and treatment of AIDS complicated with Yersinia pneumoniae pneumonia (PCP). Methods The clinical data of 67 cases of Pneumocystis pneumoniae combined with pneumonia were retrospectively analyzed in our hospital from September 2015 to September 2016. Results 67 cases (67.61%) had fever, 62 cases (92.53%) had cough, 67 cases (100%) had shortness of breath, 56 cases (83.58%) had weight loss. 58 cases (86.56%) were changed, blood gas analysis showed 67 cases of hypoxemia (100%) CD4 + T cells less than 200 cases / u L 64 cases (95.52%) Treatment with compound sulfamethoxazole tablets combined with clindamycin 54 patients (80.59%) improved, 6 patients (8.95%) gave up their treatment and 7 patients (10.44%) died. Conclusion PCP is the most common opportunistic infection in AIDS patients. Early detection and early treatment can improve the cure rate and reduce the mortality rate.