艾滋病患者肺部感染的临床分析

目的提高对艾滋病机会性感染尤其是肺部感染临床表现的认识。方法对作者在坦桑尼亚多多马省地区医院经治的３２例艾滋病患者进行临床综合分析。结果３２例艾滋病患者肺部感染临床表现的共同特征为：发热，乏力，消瘦，盗汗，咳嗽，吐痰，全身疼痛等。其中结核病患者２４例，占总数的７８％。其余为肺部感染和卡氏肺囊虫病。这些患者同时伴有皮肤感染和心、肝、肾等多系统损害。结论肺部感染是艾滋病患者晚期的主要机会性感染，其中结核感染最多见，并且可伴有机体多系统损害，治疗困难。

Clinical analysis of pulmonary infection in patients with acquired immunodeficiency syndrome(AIDS)

OBJECTIVE: This clinical analysis is made to achieve a better understanding of the opportunistic infection of patients with AIDS, especially pulmonary infection. METHOD: 32 cases of patients with AIDS are analyzed. RESULT: The clinical manifestations of the 32 cases are: fever, tiredness, loss of weight, night sweat, cough, sputum, and generalized pain. Among the 32 cases, 24 suffered for tuberculosis, constituting 78% of the total. The other patients suffered for bacterial infection and pneumocystis carinii pneumonia. These patients are complicated with skin infection and impairment of the heart, liver, kidney and other organs. CONCLUSION: Pulmonary infection is a major opportunistic infection of AIDS patients at late stage. Patients with AIDS can be easily infected with tuberculosis and complicated with multi-organ impairments, which are very difficult to treat.