152例HIV/AIDS患者临床特点分析

目的分析HIV/AIDS患者的临床特点,为艾滋病的诊断提供科学依据.方法回顾性分析昆明医学院第一附属医院感染性疾病科2009年4月至2011年12月在住院患者中新发现的152例HIV/AIDS患者的临床资料.结果新发现的152例HIV/AIDS患者中,临床表现主要有消瘦(36.18%)、发热(29.61)、咳嗽咳痰(16.45%)、乏力(15.79%)、气促(11.18%)、体表包块(8.55%)、头晕头痛(8.55%)、淋巴结肿大(7.24%)、腹痛(7.24%)、肢体麻木(6.58%)、皮肤瘀点瘀斑(5.26%)、意识障碍(3.95%)、腹泻(3.29%)、视力下降(2.63%)等.真菌感染(13.82%)为最主要的机会性感染,其次是细菌性肺炎(7.89%)、肺孢子虫肺炎(6.58%)、颅内占位(4.61%)、结核(3.29%)、带状疱疹(2.63%)、弓形虫感染(1.97%)等.63例患者的CD4+T淋巴细胞<200个/μL.结论艾滋病临床表现多样,无特异性,应加大HIV抗体的筛查,从而能早诊断早治疗.

Analysis of the Clinical Characteristics of 152 Patients with HIV/AIDS

Objective To investigate the clinical characteristics of 152 patients with HIV/AIDS and offer scientific evidence for AIDS diagnosis.Methods The subjects were the newfound 152 patients with HIV/AIDS during the patients in hospital from April 2009 to November 2011,and retrospective analysis was done in terms of demography.Results In the 152 newfound patients,the clinical manifestations included weight loss(36.18%),fever(29.61),cough and expectoration(16.45%),acratia(15.79%),tachypnea(11.18%),body surface lump(8.55%),dizzy and headache(8.55%),lymphadenectasis(7.24%),stomachache(7.24%),limbs numbness(6.58%),petechia(5.26%),conscious disturbance(3.95%),diarrhea(3.29%),sight decrease(2.63%),etc.Fungal infection was(13.82%)the overriding opportunistic infection,then was the bacterial pneumonia(7.89%),pneumocystis pneumonia(6.58%),Intracal lump(4.61%),tuberculosis(3.29%),herpes zoster(2.63%),toxoplasmosis(1.97%),etc.63 patients’ CD4+T lymphocytes were<200/uL.Conclusions AIDS symptoms are complicated and nonspecific.Primary screening of HIV should be emphasized for early diagnosis and treatment of HIV/AIDS.