艾滋病合并肺结核21例临床分析

Clinic analysis of 21 cases suffer from pulmonary tuberculosis related AIDS

目的 探讨艾滋病合并肺结核患者临床特点。方法 回顾分析 2 1例艾滋病合并肺结核患者感染途径、临床表现、辅助检查及诊治情况。结果 2 1例患者中青壮年占 95 .2 % ,其HIV感染途径主要是血液接触传播 1 5例占 71 .4%和性接触传播 9例占 42 .9% ,两种感染途径兼有 4例占 1 9.0 %。临床表现有持续发热(1 0 0 % )、咳嗽 (61 .9% )、腹泻 (3 3 .3 % ) 1个月以上的特点。PPD试验阴性率 81 .9%。全身淋巴结肿大 61 .9%。X线表现播散型肺结核 76.2 % ,同时罹患肺外淋巴结核 5 2 .4% ,半年内病死率 61 .9%。结论 艾滋病合并肺结核患者PPD试验阴性率高 ,X线表现不典型 ,病情复杂 ,疗效差 。

Objective To study clinic characteristic of pulmonary tuberculosis related AIDS.Methods Retrospective analysis infection ways, clinic symptoms, examination and diagnosis, and treatment condition to 21 tuberculosis cases that were tuberculosis related HIV infection.Results 95.2% of which was youth-prime of life in 21 cases, scoped to 71.4% (15cases)by blood contact transmitted way and 42.9%(9cases) by sexual. 19%(4cases)by both .Clinic present continued fever (100%), cough (61.9%) and diarrhoea (33.3%) over one month. PPD test negative rate was 81.9%, lymphnode tumour 61.9%, Chest X-ray film showed military tuberculosis was 76.2%, lymphnode tuberculosis of out in pulmonary was 52.4%, fatality rate 61.9% in a year of half. Conclusions It is different that only pulmonary tuberculosis and tuberculosis related AIDS. PPD test negative rate is higher, X-ray film is atypical , Disease situation is more complex, treatment result is no good, fatality rate is higher that pulmonary tuberculosis related AIDS than only pulmonary tuberculosis.