获得性免疫缺陷综合征患者的肺部感染

Pulmonary infection in patients with acquired immunodeficiency syndrome

目的 :提高对获得性免疫缺陷综合征 (AIDS)肺部机会性感染的认识。方法 :对 1 8例AIDS患者进行临床分析。结果 :1 8例患者肺部感染临床症状有发热、消瘦、乏力、咳嗽、咳痰等。卡氏肺囊虫肺炎 (PCP) 9例 ;细菌性肺炎 7例 ;霉菌性肺炎6例 ;肺结核 5例 ;伴有其他多系统感染 8例。结论 :肺部感染是AIDS患者晚期的主要机会性感染 ,其中PCP和细菌性肺炎最多 ,其次为霉菌性肺炎和肺结核 。

Objective:To enhance the awareness of pulmonary complications of acquired immunodeficiency syndrome(AIDS).Methods:Eighteen cases of confirmed AIDS were analyzed.Results:The clinical manifestations of the 18 cases were fever,loss of weight,tiredness,cough and sputum.Among the 18 cases,9 had pneumocystis carinii pneumonia(PCP),7 bacterial infection,6 fungal infection,and 5 tuberculosis.The patients were complicated with skin infection,mouth infection and impairment of many other organs.Conclusions:Pulmonary infection is a major opportunistic infection for AIDS patients at late stage.The most commonly seen were PCP and bacterial infection and then fungal infection and tuberculosis.These patients are often complicated with multi organ impairments.