TB/HIV患者36例的临床分析

目的:分析36例HIV感染并发结核病患者的临床特征。方法:观察36例患者的临床症状、体征、实验室检查、影像学检查。结果:均伴发高热、乏力、消瘦、咳嗽等症;胸片以弥漫性病变为主;11例合并肺外结核;35例PPD(-);8例痰涂片荧光染色(+)。结论:通过分析36例TB/HIV患者的病例特点,建议重视艾滋病合并结核病,在结核患者中筛查HIV感染者,及时发现艾滋病患者,是控制和治疗TB/HIV双重感染的关键。

Objective： Analysis of 36 cases clinical feature of patients with HIV infection complicated with tuberculosis. Methods： Observation of 36 cases of patients with clinical symptoms, signs, laboratory tests, Imaging. Results： All comorbid high fever, fatigue, weight loss, cough, and other disorders. By chest radiograph diffuse disease primarily. Outside the 11 cases with pulmonary tuberculosis ; 35 cases of PPD （ - ）, 8 cases of sputum smear fluorescent staining （ ＋ ）. Conclusion： It is recommended that attention to TB/AIDS Through analysis of 36 cases of patients with TB/HIV characteristics. Screening for people living with HIV in tuberculosis patients and found the AIDS patients in a timely manner are the key to control and treatment the TB/HIV.