艾滋病合并浅表淋巴结肿大40例病因分析

Etiological analysis of AIDS complicated with superficial lymphadenopathy in 40 cases

目的:探讨艾滋病合并浅表淋巴结肿大的病因,以指导临床诊断。方法:收治艾滋病合并浅表淋巴结肿大患者40例,回顾性分析其临床资料。结果:40例患者中,良性淋巴结肿大4例,淋巴结结核8例,细菌感染5例,青霉菌感染5例,淋巴造血系统肿瘤18例。结论:艾滋病合并浅表淋巴结肿大可因临床各系统疾病所致,对不明原因艾滋病合并浅表淋巴结肿大的病例,应及时行淋巴结活检以明确诊断。

Objective:To investigate the causes of superficial lymphadenopathy in AIDS patients,so as to guide clinical diagnosis.Methods:40AIDS patients with superficial lymphadenopathy were selected.The clinical data were retrospectively analyzed.Results:Among40cases,there were4cases of benign lymph node enlargement,8cases of lymph node tuberculosis,5cases of bacterial infection,5cases of penicillium infection,18cases of hematopoietic system tumor.Conclusion:AIDS combined with superficial lymphadenopathy existed in all the clinical diseases.For AIDS patients with unknown causes of superficial lymphadenopathy,we should promptly use lymph node biopsy to make a definite diagnosis.