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目的:探讨艾滋病(AIDS)合并肺孢子菌肺炎(PCP)的临床特点,提高PCP的临床诊断。方法:分析62例AIDS合并PCP的临床资料。结果:常见临床特点为发热、咳嗽、呼吸困难,CD4<100个/μl,影像学为肺间质性改变。复方新诺明治疗有效,主要死亡原因是呼吸衰竭。结论:PCP发生在晚期AIDS患者,遇发热、咳嗽、呼吸困难,影像学呈肺间质性改变,应警惕AIDS合并PCP。
Objective: To investigate the clinical features of AIDS complicated with pneumococcal pneumonia (PCP) and to improve the clinical diagnosis of PCP. Methods: Clinical data of 62 AIDS patients with PCP were analyzed. Results: The common clinical features were fever, cough, dyspnea, CD4 <100 / μl, and imaging was interstitial pulmonary interstitial changes. Cotrimoxazole treatment is effective, the main cause of death is respiratory failure. Conclusion: PCP occurs in AIDS patients with advanced stage. In case of fever, cough, dyspnea, and imaging, interstitial lung changes should be observed. AIDS and PCP should be cautioned.