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结核病是 HIV 感染的重要并发症,它由呼吸道传播,且可以用药物预防和治疗。肺是感染HIV 者最常见的结核发生部位,通过痰的抗酸菌检查可快速作出诊断。遗憾的是同非 HIV 感染者一样,HIV 感染者合并肺结核时痰涂片找抗酸杆菌常常阴性.在 HIV 感染合并肺部疾病而未明确病原学诊断时,支气管镜检查常可用来明确诊断。为系统评价支气管镜检查对 HIV感染者合并肺结核的诊断价值,作者对比了67例 HIV 感染者合并肺结核与45例无 HIV 感染者合并肺结核时的痰、支气管镜检标本的涂片和培养及经支气管活检标本的病检结果。认为
Tuberculosis is an important complication of HIV infection. It is transmitted by the respiratory tract and can be prevented and treated with medication. The lungs are the most common site of tuberculosis that affects HIV-infected people and can be quickly diagnosed by acid-fast bacilli (sputum) tests. Unfortunately, as with non-HIV-infected individuals, sputum smears are often negative for sputum smears in HIV-infected patients, and bronchoscopy can often be used to confirm the diagnosis of HIV-infected lung disease without clear etiological diagnosis. To systematically evaluate the diagnostic value of bronchoscopy for HIV-infected patients with tuberculosis, the authors compared sputum from sputum with bronchiectasis in 67 cases of HIV-infected patients with tuberculosis and 45 cases of HIV-negative pulmonary tuberculosis, Bronchial biopsy specimens of the disease test results. think