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目的本文主要是为了探讨和分析肺结核合并艾滋病患者的临床特点以及治疗措施。方法选择2014年4月至2015年4月来我院接受治疗的26例肺结核合并艾滋病患者临床资料作为研究对象,并对其临床表现、感染途径、治疗、辅助检查以及转归进行分析和判断。结果 26例患者主要以中青壮年为主,共有21例,占患者总人数的80.8%,其中艾滋病感染的途径包括性接触7例(26.9%)、静脉吸毒15例(57.7%)、不详5例(15.4%)。临床表现为明显的消瘦、持续发热。淋巴结肿大、咳痰、咳嗽、皮肤溃烂等。经过系统的治疗之后,患者康复总人数为24例(92.3%)。患者治疗前后临床表现差异较为明显(P<0.05),具有统计学意义。结论对于肺结核患者临床表现出现顽固性发热、明显消瘦时,应该对其实施相应的HIV筛查试验,从而实现尽早确诊,减少艾滋病的发展以及蔓延。
The purpose of this article is to investigate and analyze the clinical features of tuberculosis patients with AIDS and treatment measures. Methods The clinical data of 26 patients with tuberculosis complicated with AIDS who were treated in our hospital from April 2014 to April 2015 were selected as the research object, and their clinical manifestations, route of infection, treatment, auxiliary examination and outcome were analyzed and judged. Results Twenty-six patients were predominantly middle-aged and young adults, with a total of 21 cases accounting for 80.8% of the total number of patients. Among them, 7 were sexually transmitted (26.9%), 15 were intravenous drug abusers (57.7%), Example (15.4%). Clinical manifestations of significant weight loss, sustained fever. Lymphadenopathy, expectoration, cough, skin ulceration and so on. After systematic treatment, the total number of patients recovered was 24 (92.3%). The clinical manifestations of patients before and after treatment were significantly different (P <0.05), with statistical significance. Conclusions In the clinical manifestations of tuberculosis patients with intractable fever, wasting significantly, they should be the implementation of the corresponding HIV screening test in order to achieve early diagnosis and reduce the AIDS development and spread.