艾滋病100例临床分析与机会感染治疗转归

目的了解艾滋病的临床特点、并发症及其治疗效果。方法回顾性分析某院住院的100例艾滋病患者的临床资料。结果100例艾滋病患者主要临床表现为:消瘦、发热、贫血、咳嗽咳痰、腹痛腹泻、胸闷气促、肝大、淋巴结肿大;主要并发症为机会性感染和继发性肿瘤,居前6位的感染分别是口腔念珠菌病58例、结核46例、感染性腹泻31例、细菌性肺炎19例、肺孢子菌肺炎16例、颅内感染10例。经治疗后,机会性感染治愈或好转出院83例,死亡9例(包括中枢神经系统病变4例,结核2例,肺孢子菌肺炎1例,败血症1例,全身衰竭1例),未愈8例。结论艾滋病并发呼吸系统和消化系统感染多见,大部分治疗效果好,但结核和颅内感染预后较差。

Clinical analysis and curative effect of opportunity infections in 100 AIDS patients

Objective To investigate the clinical features, complications and curative effect of AIDS.Methods Clinical data of 100 AIDS patients in a hospital were retrospectively analyzed.Results The main clinical manifestations in 100 AIDS patients were loss of weight,fever, anemia, cough and expectoration, abdominal pain, diarrhea, chest distress, short breath, hepatomegaly,lymphadenectasis;the main complications were opportunity infection and secondary tumor, the first sixth infections were oral candidiasis (58 cases), tuberculosis(46 cases),infective diarrhea(31 cases), bacterial pneumonia (19 cases), pneumocystis pneumonia(16 cases),intracranial infection (10 cases).After patients received anti-infective,anti-virus and expectant treatment, 83 patients were cured or improved, 9 were dead(4 cases were lesions in central nervous system, 2 cases were tuberculosis, 1 case was pneumocystis pneumonia, septicemia and systemic failure respectively),8 patients were not cured.Conclusion The main complications in AIDS patients are infections in respiratory and digestive tract, most complications can be controlled, but prognosis in patients with tuberculosis and intracranial infection are poor.