68例艾滋病合并肺部感染病原学分析

目的探讨艾滋病合并肺部感染的病原学特征及与免疫功能的关系。方法回顾性分析了68例艾滋病合并肺部感染的致病原因,以及与免疫功能的关系。结果肺部感染是艾滋病最常见的机会性感染,具有多样性、混合性,以真菌感染和结核感染多见,卡氏肺孢子虫肺炎死亡率最高;随CD4+细胞计数的下降,其肺部感染发生频率和死亡率逐渐增加。结论提高对艾滋病合并肺部感染患者免疫功能及病原学的认识,对早期诊断、经验治疗具有重要的指导意义。

Aetiological analysis on 68 AIDS cases with lung infection

Objective To study the relation between the aetiological character of AIDS cases with lung infection and immune function. Methods To make retrospective analysis on character, causes and the relation to immune function of 68 AIDS cases with lung infection. Results Lung infection is the most familiar OI which is variety and mixed, infected commonly by epiphyte and tuber- cle bacillus. Among these PCP has the highest mortality rate. The frequency of lung infection and the mortality rate increase gradually with reduction of CD4 ＋ Conclusion To realize the immune function and aetiological character of AIDS cases with lung infection is important guide to early diagnosis and treatment.