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目的:探讨艾滋病合并结核病患者的临床特点、诊断和治疗方法。方法:选取我院于2012年1月至2015年1月收治的艾滋病合并结核病患者60例作为临床研究对象,对患者的临床资料进行回顾性分析。结果:临床表现:发热60例(100%),咳嗽46例(76.67%),盗汗37例(61.67%),体质量下降33例(55.00%),呼吸困难24例(40.00%),胸痛17例(28.33%)。临床类型:播散型肺结核27例,单部位淋巴结核14例,单纯肺结核9例,结核性胸膜炎5例,其他部位结核5例。影像表现:肺中下叶有局灶性或弥漫性渗出病变,淋巴结肿大,胸膜炎、弥散性栗粒或结节影。治疗结果:32例患者同时进行抗结核和抗病毒治疗,两年后因结核病而死亡的患者6例;28例患者没有同时进行抗结核和抗病毒治疗,两年后因结核病而死亡的患者15例。结论:艾滋病合并结核病患者的临床表现复杂,诊断较为困难,患者应及早同时进行抗病毒治疗和抗结核治疗,从而改善预后。
Objective: To investigate the clinical features, diagnosis and treatment of AIDS patients with tuberculosis. Methods: Sixty AIDS patients with tuberculosis who were admitted to our hospital from January 2012 to January 2015 were selected as clinical research subjects. The clinical data of patients were retrospectively analyzed. Results: The clinical manifestations were fever (60%), cough (46.6%), night sweating in 37 cases (61.67%), weight loss in 33 cases (55.00% Cases (28.33%). Clinical types: disseminated pulmonary tuberculosis in 27 cases, single-site lymph node in 14 cases, simple tuberculosis in 9 cases, tuberculous pleurisy in 5 cases, other parts of the tuberculosis in 5 cases. Imaging: Lower lobe of the lung with focal or diffuse exudative lesions, lymphadenopathy, pleurisy, disseminated chestnuts or nodules. Results: 32 patients were treated with both anti-TB and anti-viral drugs at the same time. Six patients died of tuberculosis after two years; 28 patients were not treated with anti-TB and anti-virus drugs at the same time and two died of TB after 15 years example. Conclusion: The clinical manifestations of AIDS complicated with tuberculosis are complicated and the diagnosis is difficult. Patients should be treated with antiviral therapy and antituberculosis as soon as possible to improve the prognosis.