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以中枢神经系统症状为首发表现的艾滋病临床分析
引用本文:陶鹏飞,雷素云,杨欣平,黄石珍,聂皎.以中枢神经系统症状为首发表现的艾滋病临床分析[J].医学综述,2011,17(16):2515-2517.
作者姓名:陶鹏飞  雷素云  杨欣平  黄石珍  聂皎
作者单位:1. 云南省传染病专科医院感染科,昆明,650301
2. 云南省昆明市中医医院,昆明,650100
基金项目:国家"十一五"科技重大专项
摘    要:目的探讨以中枢神经系统症状为首发表现的获得性免疫缺陷综合征(AIDS)的临床特征及预后,提高临床医师对这部分患者的诊断识别能力,防止临床漏诊和误诊。方法回顾性分析2009~2010年云南省传染病专科医院感染科收治的500例艾滋病患者的临床资料,其中80例患者以中枢神经系统表现为首发症状。结果 80例患者中AIDS痴呆综合征5例,结核性脑膜炎15例(包括结核性脑膜脑炎),隐球菌脑膜炎30例,弓形虫脑病20例,脑梗死4例,巨细胞病毒神经根炎3例,进行性多灶性白质脑病3例。所有病例出现中枢神经系统表现后行人类免疫缺陷病毒抗体检测阳性,诊断为艾滋病。结论以中枢神经系统症状为首发症状的AIDS患者病情复杂,预后差,病死率高,早期诊断及治疗可以使患者病死率下降。

关 键 词:获得性免疫缺陷综合征  人类免疫缺陷病毒  中枢神经系统症状

The Acquired Immunodeficiency Syndrome on the Firstly Symptom with the Central Nervous System
TAO Peng-fei,LEI Su-yun,YANG Xin-ping,HUANG Shi-zhen,NIE Jiao.The Acquired Immunodeficiency Syndrome on the Firstly Symptom with the Central Nervous System[J].Medical Recapitulate,2011,17(16):2515-2517.
Authors:TAO Peng-fei  LEI Su-yun  YANG Xin-ping  HUANG Shi-zhen  NIE Jiao
Institution:TAO Peng-fei1,LEI Su-yun1,YANG Xin-ping1,HUANG Shi-zhen1,NIE Jiao2.(1.Department of Infectious Disease,InfectiousDisease Hospital for Yunnan Province,Kunming 650301,China,2.Kunming Hospital of Traditional Chinese Medicine,Kunming 650100,China)
Abstract:Objective To investigate the clinical feature and prognosis on the firstly symptom with the central nervous system(CNS)in the acquired immunodeficiency syndrome(AIDS)that boosted the partly diagnosis ability for AIDS patients,to prevent the clinical misdiagnosis and mistreatment.Methods 80 examples were retrospectively analyzed with the CNS symptom among 500 treated AIDS patients in 2009 to 2010,from Infectious Disease Hospital for Yunnan Province.Results In 80 patients relevant AIDS chronic brain syndrome,...
Keywords:Acquired immunodeficiency syndrome  Human immunodeficiency virus  Central nervous system symptoms  
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