艾滋病和结核病双重感染的临床分析

Clinical analysis of AIDS and tuberculosis dual infected patients

目的：探讨艾滋病、结核病双重感染患者的临床特点与治疗方法。方法选取本院2011年11月~2013年10月收治的艾滋病合并结核病患者68例作为研究对象，回顾性分析样本的临床资料，总结临床特点与治疗方式。结果68例患者临床表现为咳痰、发热、咳嗽、气短、消瘦、贫血等，其中，以咳痰为最主要的表现症状；胸部X线检测的表现不明显，多存在弥漫性侵润和粟粒性阴影；临床开展的治疗方式较为复杂，治疗后死亡率为13.2%。结论艾滋病与结核病双重感染患者的临床表现不明显，开展相关检查对结核病的诊断效果也缺乏特异性，治疗方法趋于复杂，主要是通过抗结核治疗后再进一步行抗病毒治疗，起到延长患者生存时间的效果。

Objective To investigate clinical features and treatment methods of AIDS, tuberculosis dual infected patients.Methods Choosing 68 cases of AIDS combined TB patients in our hospital from November 2011 to October 2013 for the study, clinical data were retrospectively analyzed samples, summarize the clinical characteristics and treatment.Results 68 patients for the clinical manifestations of sputum, fever, cough, shortness of breath, weight loss, anemia, which in sputum as the most important manifestations; chest X-ray detection performance is not obvious, the presence of multiple and diffuse sexual run miliary shadows; conducted clinical treatment more complex, the mortality rate was 13.2% after treatment.Conclusion HIV and TB co-infected patients subclinical carry out the relevant checks in the diagnosis of tuberculosis is also a lack of specificity, treatments become more complex, mainly through further line anti-TB treatment after antiviral therapy, play prolong survival effect of time.