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目的 :探讨获得性免疫缺陷综合征 (AIDS)合并中耳感染的临床特点。方法 :回顾分析在坦桑尼亚姆希比利大学医学院医疗中心工作期间收治的 2 0例AIDS合并中耳感染患者的临床资料。结果 :AIDS合并中耳感染患者服中药和全身用抗生素 ,局部用抗生素滴耳 ,Ⅱ期患者的症状暂时可得到缓解 ;Ⅲ～Ⅳ期患者中 ,2例死于颅内感染 ,1例死于肺结核 ,余者均进行性加重。结论 :AIDS合并中耳感染的患者发病急 ,病程短 ,发病后症状严重 ,伴有多脏器感染。虽有严重感染 ,但WBC不升高者 ,需查HIV。
Objective: To investigate the clinical features of acquired immunodeficiency syndrome (AIDS) complicated with middle ear infections. Methods: A retrospective analysis of 20 clinical data on patients with middle ear infection with AIDS who were admitted during the course of their work at the medical center at Mishraibi Medical College in Tanzania was conducted. Results: In patients with middle ear infection, traditional Chinese medicine and systemic antibiotics were administered to the patients with ear drops of antibiotics locally. The symptoms of patients in stage Ⅱ were temporarily relieved. Among Ⅲ ~ Ⅳ patients, 2 died of intracranial infection and 1 died of Tuberculosis, the rest were progressive increase. Conclusion: The patients with middle ear infection with AIDS have acute onset, short course of disease, severe symptoms after onset, and multiple organ infection. Although severe infection, but WBC does not rise, need to check HIV.