艾滋病合并肺结核21例临床分析

中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (1): 21-23.

艾滋病合并肺结核21例临床分析

李丙喜¹；王林²；周新华³；

1.河南省驻马店市结核病防治所驻马店 463000；2.河南省结核病防治所郑州 100050；3.北京市结核病胸部肿瘤研究所北京 101149；

出版日期:2003-01-10 发布日期:2003-11-03

Clinic analysis of 21 cases suffer from pulmonary tuberculosis related AIDS

LI Bing xi¹,WANG Lin, ZHOU Xin hua.

1.Tuberculosis Control Center of Zhumadian City of Henan province,Zhumadian 463000

Online:2003-01-10 Published:2003-11-03

摘要/Abstract

摘要： 目的　探讨艾滋病合并肺结核患者临床特点。方法回顾分析 21例艾滋病合并肺结核患者感染途径、临床表现、辅助检查及诊治情况。结果 21例患者中青壮年占 95.2%，其HIV感染途径主要是血液接触传播 15例占 71.4%和性接触传播 9例占 42.9%，两种感染途径兼有 4例占 19.0%。临床表现有持续发热(100%)、咳嗽 (61.9%)、腹泻 (33.3%) 1个月以上的特点。PPD试验阴性率 81.9%。全身淋巴结肿大 61.9%。X线表现播散型肺结核 76.2%，同时罹患肺外淋巴结核 52.4%，半年内病死率 61.9%。结论艾滋病合并肺结核患者PPD试验阴性率高，X线表现不典型，病情复杂，疗效差，病死率高。

关键词: 结核,肺/并发症, 艾滋病

Abstract: Objective To study clinic characteristic of pulmonary tuberculosis related AIDS.Methods Retrospective analysis infection ways, clinic symptoms, examination and diagnosis, and treatment condition to 21 tuberculosis cases that were tuberculosis related HIV infection.Results 95.2% of which was youth-prime of life in 21 cases, scoped to 71.4% (15cases)by blood contact transmitted way and 42.9%(9cases) by sexual. 19%(4cases)by both .Clinic present continued fever (100%), cough (61.9%) and diarrhoea (33.3%) over one month. PPD test negative rate was 81.9%, lymphnode tumour 61.9%, Chest X-ray film showed military tuberculosis was 76.2%, lymphnode tuberculosis of out in pulmonary was 52.4%, fatality rate 61.9% in a year of half. Conclusions It is different that only pulmonary tuberculosis and tuberculosis related AIDS. PPD test negative rate is higher, X-ray film is atypical , Disease situation is more complex, treatment result is no good, fatality rate is higher that pulmonary tuberculosis related AIDS than only pulmonary tuberculosis.

Key words: Tuberculosis, pulmonary /complications, AIDS

李丙喜,王林,周新华,. 艾滋病合并肺结核21例临床分析[J]. 中国防痨杂志, 2003, 25(1): 21-23.

LI Bing xi¹,WANG Lin, ZHOU Xin hua.. Clinic analysis of 21 cases suffer from pulmonary tuberculosis related AIDS[J]. Chinese Journal of Antituberculosis, 2003, 25(1): 21-23.

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