艾滋病患者死亡原因分析

Analysis of Death Causes for AIDS Patients

为了解艾滋病 (AIDS)的死因结构 ,改善防治对策 ,延长患者生存期 ,提高患者的生活质量 ,对我院收治的1 5例AIDS死亡病例进行了分析。结果显示 ,1 5例艾滋病死亡患者潜伏期 ( 8.0 0± 5 .72 )年 ,平均死亡时间 ( 2 .4 2±7.2 4 )月 ,CD4 + 计数 ( 31± 2 5 )个 /mm3 ,病毒载量 ( 4 6 70 0± 76 30 )copy/mm3 ,可同时合并多种机会性感染和肿瘤。常见的并发症如卡氏肺孢子虫肺炎 (PCP)、肺结核、口腔和食管念珠菌感染等很少导致死亡 ,而侵及中枢神经系统 (如结核性、隐球菌性脑膜炎和HIV性脑病 )或合并严重感染、恶性肿瘤则预后极差 ,为临床常见死亡原因。

The objective was to comprehend the current situation of death causes for the patients of Acquired immunodeficiency syndrome(AIDS.) All the cases died in You′an hospital, and were analysed in the aspects of their episode progress, death progress(course), complication and treatment etc. Latent period of these patients was (8.00±5.72) years, the average death period (2.42±7.24) months. CD4 +T lymphocytes counting was (31±25) /mm 3, virus load (46 700±7 630) copy/mm 3. Multiple opportunity infection and tumor were combined at the same time, which led to the patients death in late period. Common complications, for example pneumocystis carinii pneumonia (PCP), pulmonary tuberculosis, mouth cavity and esophago Monilia infection seldom led to death, but invaded the central nervous system, (for example tubercular meningitis, cryptococcal meningitis, and HIV encephalopathy) or accompanying severe infection. Malignancy Tumor prognosi is very bad.