艾滋病15例临床分析

目的　提高对艾滋病 (AIDS)的认识 ,为AIDS及时诊断提供基础资料。方法　分析经免疫印迹检测证实的 15例AIDS病人的临床资料。结果　本组病人 80 0 %经性接触感染 ;73 3 %以呼吸道感染起病 ,表现为持续发热、慢性咳嗽 ,严重者气急紫绀 ;2 6 7%以长程腹泻起病。可伴有体重进行性下降 (80 0 % )。病人从起病至确诊的时间较长。多为多种病原体混合性感染 ,单纯针对细菌治疗疗效常不理想 ,酌情采用综合治疗有66 7%的病人好转。结论　加强对AIDS的警惕性 ,对反复发热、慢性咳嗽、长程腹泻的病人应尽早行抗 HIV检查 ;尽早诊断、综合治疗是病情稳定之关键

A clinical analysis of 15 AIDS cases

Objective To comprehend the clinical characteristics and treatment of AIDS patients,and provide the basic information for prompt diagnosis of AIDS cases.Methods To analyze the clinical data of 15 AIDS patients identified by western blot test.Results 80^0% of the AIDS patients acquired HIV through sexual contact,and the common clinical menifestations of them were loss of weight(80^0%),fever(73^3%),pneumonia(66^7%)and diarrhea(26^7%).The duration from emerging clinical symptoms to definitive diagnosis among them was long.The patients were more frequently accompanied by co infection with various pathogens.The efficacy of solely using anti bacterium therapy was usually poor,and all around treatment was effective(66^7%).Conclusion Physicians should be alert of the occurrence of AIDS.Anti HIV antibody should be promptly tested for patients of repeating fever,chronic cough and long term diarrhea.The rapid and correct diagnosis and all around treatment are the key of ameliorating state of an illness.