论文部分内容阅读
作者回顾了泰国Srinagarind医院1992年4月至1994年4月期间收治的25名卡氏肺孢子虫肺炎(PCP)病人的临床表现、实验室和胸片检查以及治疗结果。病人均为年龄大于15岁的HIV阳性者。用支气管镜取支气管肺泡灌洗液或肺组织的吉氏液或GMS染色,经镜检确诊PCP。临床表现中,有发热的为100％,呼吸困难100％,呼吸率>30/min100％,有干咳的为84％。实验室检查:100％的病人LDH>250单位/L,PaO_2<70mmHg(100％),WBC数>10,000/mm~3(8％),CD_4~+
The authors reviewed the clinical presentation, laboratory and chest radiographs, and treatment outcomes of 25 patients with Pneumocystis carinii pneumonia (PCP) who were admitted to Srinagarind Hospital in Thailand from April 1992 to April 1994. All patients were HIV positive older than 15 years. Bronchial bronchoalveolar lavage fluid or bronchial tissue with Giemsa or GMS staining, confirmed by microscopic examination of PCP. Clinical manifestations, fever 100%, breathing difficulty 100%, respiratory rate> 30 / min100%, with 84% of dry cough. Laboratory tests: LDH> 250 units / L, PaO_2 <70 mmHg (100%), WBC count> 10,000 / mm ~ 3 (8%