脊柱结核并发HIV感染/AIDS患者诊断及治疗专家共识

doi:10.3969/j.issn.1000-6621.2020.05.002

摘要/Abstract

摘要：

脊柱结核并发HIV感染/AIDS患者因免疫功能低下,治疗的难度成倍增加。为规范脊柱结核并发HIV感染/AIDS患者的诊疗流程,使更多同行了解此类疾病治疗细节,并在治疗时有可靠依据,中国防痨协会骨关节结核专业分会、中国西部骨结核联盟、中国华北骨结核联盟、《中国防痨杂志》编辑委员会共同制定了《脊柱结核并发HIV感染/AIDS患者诊断及治疗专家共识》。本共识从脊柱结核并发HIV感染/AIDS患者的流行病学背景开始论述,对其常见临床表现、实验室检查、诊断标准、药物及手术治疗方法、手术治疗过程中的职业暴露和注意事项,以及研究方向等方面做了深入的阐述与讨论。

关键词: 结核,脊柱, HIV感染, 获得性免疫缺陷综合征, 诊断, 治疗, 共识

Abstract:

Patients with spinal tuberculosis complicated with HIV/AIDS have multiplied the difficulty of treatment due to low immune function. To standardize the procedures for diagnosis and treatment in patients with spinal tuberculosis complicated with HIV/AIDS, and to increase peer awareness of the details of the treatment of such diseases, and to have a reliable basis for their treatment, we organized the Professional Branch of Chinese Antituberculosis Association, the Western China Bone Tuberculosis Alliance, the North China Bone Tuberculosis Alliance and the Editorial Board of Chinese Journal of Antituberculosis to jointly develop the experts’ consensus on the diagnosis and treatment of patients with spinal tuberculosis complicated with HIV/AIDS. Some items including the epidemiological background, the common clinical manifestations, laboratory examination, diagnostic criteria, drugs usage, surgical treatment, occupational exposure during surgery,announcements and relative research have been formulated and discussed on these patients with spinal tuberculosis complicated with HIV/AIDS in this experts’ consensus.

Key words: Tuberculosis,spinal, HIV infections, Acquired immunodeficiency syndrome, Diagnosis, Treatment, Consensus

中国防痨协会骨关节结核专业分会, 中国西部骨结核联盟, 中国华北骨结核联盟, 《中国防痨杂志》编辑委员会. 脊柱结核并发HIV感染/AIDS患者诊断及治疗专家共识[J]. 中国防痨杂志, 2020, 42(5): 418-424. doi: 10.3969/j.issn.1000-6621.2020.05.002

The Joint Tuberculosis Professional Branch of Chinese Antituberculosis Association, the Western China Bone Tuberculosis Alliance, the North China Bone Tuberculosis Alliance, Editorial Board of Chinese Journal of Antituberculosis. Experts’ consensus on the diagnosis and treatment of patients with spinal tuberculosis complicated with HIV/AIDS[J]. Chinese Journal of Antituberculosis, 2020, 42(5): 418-424. doi: 10.3969/j.issn.1000-6621.2020.05.002

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