大理州31例艾滋病病例分析

目的：了解大理州艾滋病病例的临床特点。方法：对1998年1月至2001年8月间收治的艾滋病病例作临床分析。结果：74．4％的艾滋病病例经过静脉吸毒而感染，临床表现以发热（77．4％），明显消瘦（64．5％）、咳嗽（54．8％）、腹泻（25．8％）、淋巴结肿大（29．0％）为主，各种机会性感染较常见。结论：肺结核、肺部感染、神经系统损害为大理州艾滋病病人的临床谱，因误诊率高，应增强对艾滋病的发现意识。

Clinical analysis on 31 cases of AIDS from Dali prefecture

Objective To study the clinical characteristics of AIDS cases from Dali prefecture.Methods All the AIDS cases admitted into the department of infectious diseases,Dali prefectural hospital from January,1998 to August,2001.were analyzed.Results 74.4% AIDS cases were intravenous drug users.The main clinical manifestations were fever(77.4%),losing weight(64.5%),bad cough(54.8%),diarrhea(25.8%),enlargement of lymph nodes(29.0%).The opportunistic infections were very common in those cases.Conclusion The main clinical characteristics of AIDS cases from Dali prefecture are pulmonary tuberculosis,plumonary infections and pathological changes of nervous system.Therefore,the rate of misdiagnosis for the AIDS cases is quite high,so that the clinicians should diagnoze AIDS acurately and timely.