农村彝族艾滋病患者腹水病因分析

Etiology of AIDS patients with ascites in rural Yi ethnic

目的探讨凉山州农村彝族艾滋病患者腹水的原因。方法收集2012年7月-2014年6月凉山州第一人民医院消化内科住院的30例农村彝族艾滋病合并腹水患者的临床资料。结果 30例患者中,10例(33.3%)结核性腹膜炎,肝硬化14例(46.7%),肝硬化合并结核性腹膜炎2例(6.7%),肝硬化合并自发性腹膜炎3例(10.0%),直肠癌伴腹腔转移1例(3.3%)。结论腹水是艾滋病患者的常见合并症,结核及肝硬化成为农村彝族艾滋病合并腹水的常见原因。

Objective To investigate the reasons of AIDS patients with ascites in Liangshan rural Yi ethnic. Methods The clinical datas of 30 rural Yi ethnic AIDS patients with ascites in Liangshan First People＇s Hospital from Jul. 2012 to Jun. 2014 were collected. Results Of 30 patients, 10 cases had tuberculous peritonitis, accounting for 33.3% ; 14 cases had cirrhosis, accounting for 46.7% ; 2 cases had cirrhosis with tuberculous peritonitis, accounting for 6.7% ; 3 cases had cirrhosis with spontaneous peritonitis, accounting for 10.0% ; and 1 case was colorectal cancer with peritoneal metastasis, accounting for 3.3%. Conclusion Ascites is a common complication of AIDS, tuberculosis and cirrhosis become common causes of AIDS with ascites in rural Yi ethnic patients.