艾滋病在耳鼻咽喉-头颈部的临床表现及治疗体会

Clinical Manifestations of AIDS in Ear,Nose,Throat,Head and Neck and Its Treatment

目的了解艾滋病在耳鼻咽喉-头颈部的临床表现,并探讨其治疗效果。方法回顾性总结笔者在尼日尔尼亚美市国家医院工作期间治疗的40例人类免疫缺陷病毒(HIV)阳性患者的临床资料。结果 40例患者年龄19～55岁。其中急、慢性化脓性中耳炎8例,鼻前庭、鼻翼溃疡3例,鼻窦炎2例,变态反应性鼻炎4例,鼻咽卡波西肉瘤2例,口咽念珠菌感染5例,慢性扁桃体炎10例,双腮腺淋巴结肿2例,颈部多发性淋巴结肿3例,甲状腺腺瘤1例。经治疗好转28例、无效8例、放弃治疗4例。结论 HIV阳性患者在耳鼻咽喉-头颈部的临床表现因艾滋病的Ⅰ、Ⅱ、Ⅲ期的不同而表现出临床症状多样性,治疗的效果亦不同。

Objective To understand the clinical manifestations of AIDS in ear, nose, throat, head and neck. Methods The clinical data of 40 patients with positive human immunodeficiency virus （HIV） in Niamey State Hospital of Niger were analyzed retrospectively. Results Among 40 patients aged 19 to 55 years old, 8 had acute or chronic suppurative otitis media, 3 nasal vestibule or wing ulcer, 2 sinusitis, 4 allergia rhinitis, 2 nasopharynx kaposi sarcoma, 5 oropharyngeal monilia infection, 10 chronic tonsillitis, 2 swollen bilateral parotid lymph node, 3 neck multiple adenophyma, 1 thyroid adenoma. Af- ter treatment, 28 had improvement, 8 ineffectiveness, 4 gave up treatment. Conclusion The manifestations of AIDS in ear, nose, throat, head and neck are various due to the different clinical symptoms of AIDS stages Ⅰ, Ⅱ ,Ⅲ and its treatment effects are different.