论文部分内容阅读
目的:探讨艾滋病(AIDS)合并肺部感染的临床特点、实验室检查及影像学特征。方法:回顾性分析我院2008年1月-2012年4月期间确诊的12例AIDS合并有肺部感染患者的病例资料。结果:发病以男性为主(11例),临床症状以发热、咳嗽、胸闷等为主,实验室检查血沉明显增快、中性粒细胞升高,2例合并有梅毒螺旋体感染,5例合并有乙肝病毒感染,1例合并丙肝病毒感染,氏肺孢子虫肺炎发生率41.67%(5/12);影像学检查主要表现为双肺弥漫性病变,肺门部位为主的毛玻璃样改变。结论:AIDS合并肺部感染患者早期不易诊断,应进一步提高对AIDS的临床症状及影像学认识提高对AIDS的早期诊断率,如存在高危因素者应及时进行艾滋病病毒抗体检测以明确诊断。
Objective: To investigate the clinical features, laboratory tests and imaging features of AIDS complicated with pulmonary infection. Methods: A retrospective analysis of our hospital from January 2008 to April 2012 confirmed 12 cases of AIDS patients with pulmonary infection in the case data. Results: The incidence was mainly male (11 cases). The main clinical symptoms were fever, cough and chest tightness. Laboratory tests showed that erythrocyte sedimentation rate was significantly higher, neutrophils were increased, two cases were complicated with Treponema pallidum infection, and five cases were merged Hepatitis B virus infection, 1 case of hepatitis C virus infection, Pneumocystis carinii pneumonia incidence of 41.67% (5/12); imaging findings mainly diffuse lungs, hilar location based frosted glass-like changes. Conclusion: It is not easy to diagnose early AIDS in patients with AIDS complicated with pulmonary infection. The clinical symptoms and imaging knowledge of AIDS should be further improved to improve the early diagnosis of AIDS. If there are high risk factors, HIV antibody test should be conducted in time to confirm the diagnosis.