以肺部感染为首发症状的HIV/AIDS临床分析

Clinical analysis of HIV/AIDS characterized with primary symptom of lung infection

目的提高对HIV/AIDS的认识,减少误诊及漏诊。方法对20例以肺部感染收住院的HIV/AIDS患者进行回顾性分析。结果中青年人多发,占85.00%;以性传播为主,占70.00%;以细菌性肺炎为主,占50.00%,其他肺部感染:霉菌性肺炎1例,卡氏肺囊虫肺炎(PCP)4例,肺结核5例。结论对既往身体健康的青壮年,如反复发生肺炎或呼吸衰竭应警惕HIV/AIDS的可能,及时检查血抗HIV抗体,减小漏诊。

Objective To further understand HIV/AIDS for avoiding misdiagnosis and missed diagnosis. Methods Retrospective analysis of 20 cases with HIV/AIDS characterized with primary symptom of lung infection had been performed. Results The disease occurred major in pubber and middle age individuals, aceounting for 85. 00 %. It spread by sex behavior mainly, accounting for 70.00 %. The leading primary disease was bacterial pneumonia, accounting for 50.00% ; other lung infection： 1 ease with fungal pneumonia, 4 cases with pneumocystis pneumonia （PCP）, 5 cases with pulmonary tuberculosis. Conclusion If a healthy puber or middle age individual had repeated pneumonia or respiratory failure, he may, have risk of HIV/AIDS. To examine serum HIV antibody can reduce missed diagnosis.