以腹痛为主要表现的获得性免疫缺陷综合征临床分析

[目的]探讨以腹痛为主要表现的获得性免疫缺陷综合征(AIDS)的临床特征,以提高对该病的认识。[方法]对22例AIDS患者的临床资料进行回顾分析,并结合文献进行复习。[结果]全部患者均有腹痛(100%),其他主要症状为腹胀(77.3%)、腹泻(59.1%)、吞咽困难或吞咽疼痛(22.7%)、口腔炎或口腔真菌感染(18.2%)、纳差(72.7%)、乏力(68.2%)、不明原因发热(31.8%)、体质量减轻(40.9%)等,2例(9.0%)面部出现米糠样皮疹。胃镜下主要表现为胃黏膜充血水肿、糜烂,结肠黏膜主要表现为弥漫性或局限性充血水肿、糜烂或浅表溃疡等。[结论]AIDS以腹痛等消化系统症状为主要表现者比较多见,但临床表现无特异性,临床医务人员尤其是消化内科医师要不断提高对该病的认识,早诊早治,减少误诊。

Clinical analysis of acquired immune deficiency syndrome with major manifestation of abdominal pain

[Objective ] To investigate the clinical features of acquired immune deficiency syndrome （AIDS） with major manifestation of abdominal pain to enhance the cognition of it .[Methods] The clinical data of 22 AIDS patients with major manifestation of abdominal pain was analysed retrospectively and rele-vant literatures were reviewed .[Results] All of 22 AIDS patients had abdominal pain .The other major manifestations were abdominal distension（77 .3% ） ,diarrhea（59 .1% ） ,dysphagia or ingurgitation pain（22 . 7% ） ,stomatitis（18 .2% ） ,anorexia（72 .7% ） ,hypodynamia（68 .2% ） ,persistent fever（31 .8% ） and weight loss（40 .9% ） ,2（9 .0% ） cases had rice bran-like skin rash on face .Pathological changes of gastric and colon mucosa were hyperraemia ,edema ,erosion or superfical ulcer in endoscopy .[Conclusion]Digestive system symptoms are common in AIDS patients ,but they have no specificity .Clinical physicians ,especially gastro-intestinal physicians ,should improve the understanding of this disease for early diagnosis ,treat ment and reduce misdiagnosis .