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目的了解以腹泻为主要临床表现的艾滋病的临床特点、并发症。方法回顾性分析37例艾滋病患者临床资料结果。结果37例AIDS患者主要以性传播、吸毒史和静脉注射、血液传播为主。大便主要为黄色糊状,3～10次/d,常伴有不明原因消瘦、不明原因发热、口腔霉菌感染、不明原因腹痛等临床表现。肠道改变常表现为结肠黏膜局限性或弥漫性充血水肿,或不同程度的糜烂或溃疡,甚至未见明显异常。大肠病理主要为结肠粘膜慢性炎。大便培养无细菌生长多见,仅少数可检出沙门氏菌属或白色假丝酵母菌等。结论以腹泻为主要临床表现的艾滋病患者临床表现多样,且缺乏特异性,确诊有赖于蛋白印迹检测,应对本病高危患者保持高度警惕。
Objective To understand the clinical features and complications of AIDS with diarrhea as the main clinical manifestation. Methods Retrospective analysis of 37 cases of AIDS patients clinical data results. Results 37 cases of AIDS patients mainly sexually transmitted, drug abuse history and intravenous injection, blood-based. Stool is mainly yellow paste, 3 to 10 times / d, often accompanied by unexplained weight loss, unexplained fever, oral mold infection, unexplained abdominal pain and other clinical manifestations. Intestinal changes often manifested as localized mucosal confusion or diffuse congestion and edema, or varying degrees of erosion or ulcer, and even no obvious abnormalities. Colorectal pathology is mainly chronic colitis mucosa. Stool culture more common bacterial growth, only a few can be detected Salmonella or Candida albicans and so on. Conclusion The clinical manifestations of AIDS patients with diarrhea as the main clinical manifestations are diverse and lack of specificity. The diagnosis depends on the detection of western blot, and should be highly vigilant in the treatment of high-risk patients.