艾滋病合并肺部感染12例临床分析

Clinical Analysis of 12 Cases with AIDS Complicated with Pulmonary Infection

目的:探讨艾滋病(AIDS)合并肺部感染的临床特点、实验室检查及影像学特征。方法:回顾性分析我院2008年1月-2012年4月期间确诊的12例AIDS合并有肺部感染患者的病例资料。结果:发病以男性为主(11例),临床症状以发热、咳嗽、胸闷等为主,实验室检查血沉明显增快、中性粒细胞升高,2例合并有梅毒螺旋体感染,5例合并有乙肝病毒感染,1例合并丙肝病毒感染,氏肺孢子虫肺炎发生率41.67%(5/12);影像学检查主要表现为双肺弥漫性病变,肺门部位为主的毛玻璃样改变。结论:AIDS合并肺部感染患者早期不易诊断,应进一步提高对AIDS的临床症状及影像学认识提高对AIDS的早期诊断率,如存在高危因素者应及时进行艾滋病病毒抗体检测以明确诊断。

Objective： To investigate AIDS （ AIDS ）complicated with pulmonary infection clinical features, laboratory findings and imaging features. Methods： A retrospective analysis of our hospital in 2008.Tanuary-2012 year during Aprill2 cases with AIDS com-plicated with pulmonary infection cases. Results： The incidence of male （n = 11）, clinical symptoms of fever, cough, chest tightness and other mainly, laboratory examination erythrocyte sedimentation rate was significantly faster, elevated neutrophil,2 cases complicated with syphilis infection,5 cases with hepatitis B virus infection,1 cases with hepatitis C virus infection, Pneumocystis pneumonia incidence 41.67% （5/12）; imaging examination is mainly manifested as diffuse bilateral pulmonary lesions, hilar region consisting mainly of ground glass opacity. Conclusion： AIDS patients with pulmonary infection is difficult to diagnosis early, should flaker improve the clinical symptoms of AIDS and imaging recognition to improve the early diagnosis rate of AIDS, such as the presence of risk factors should be timely to conduct HIV antibody testing to confirm the diagnosis.