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目的了解艾滋病合并结核病的临床特征和治疗转归情况,掌握TB/HIV病例的发现和救治。方法采用回顾性研究方法,对2007年1月-2008年12月55例TB/HIV确诊病例的临床特征和治疗转归情况进行分析,采用定性资料的描述性分析法方法对各种临床特征的分布情况进行分析。结果筛查的HIV/AIDS病例中,有咳嗽、咳痰持续3周以上结核病可疑症状者所占比例最高,达76.10%;55例TB/HIV病人中,均有经常容易疲劳或呼吸短促症状;存在无法解释的体重明显下降者占到96.40%;有夜间经常出汗现象者占90.10%;反复低烧持续2周以上和咳嗽、咳痰持续3周以上也均达到70.00%以上;HB/HIV双重感染病人预后很差。结论结核病是艾滋病最常见的机会性感染,早期筛查有助于改善患者的转归情况。
Objective To understand the clinical features of AIDS-TB and the outcome of treatment and to master the discovery and treatment of TB / HIV cases. Methods A retrospective study was conducted to analyze the clinical characteristics and outcomes of 55 cases of TB / HIV diagnosed from January 2007 to December 2008. Descriptive analysis of qualitative data was used to analyze the clinical features Distribution of the situation for analysis. Results Among the HIV / AIDS cases screened, sputum had the highest proportion of suspicious symptoms of TB for more than 3 weeks, accounting for 76.10% of the total. Of the 55 cases of TB / HIV patients, they often had fatigue or shortness of breath symptoms. There are unexplained weight loss accounted for 96.40%; there are frequent night sweats accounted for 90.10%; repeated low-grade fever for more than 2 weeks and cough, sputum for more than 3 weeks have reached more than 70.00%; HB / HIV dual Infected patients have a poor prognosis. Conclusion Tuberculosis is the most common opportunistic infection of AIDS. Early screening can help improve the outcome of patients.