肺结核与艾滋病

目的 了解结核病院人类免疫缺陷病毒(HIV)/结核分枝杆菌(MTB)双重感染发病情况及发现病例的临床表现?治疗对策?方法 对1995年2月～1999年2月3707例住院结核病患者常规检测HIV抗体?结果 3707例中HIV(+)4例,阳性率108‰?男3例,女1例?平均年龄295岁,占21～40岁年龄组的314‰?4例中血源性感染1例,异性间感染2例,另1例血源性?异性间感染难以确定?4例均可诊断为艾滋病(AIDS)?结论 对具有HIV感染危险因素的结核患者,特别是中青年,应常规进行HIV抗体检测,对HIV/MTB双重感染患者抗结核治疗时应特别注意药物副反应?在抗痨同时并用中西药抗AIDS治疗,结核病取得较好近期疗效?

Pulmonarytuberculosis and AIDS(report of 4 cases)

Objective Investigate the situation of combined infection of human immunodeficiency virus(HIV)/mycobacterium tuberculosis(MTB)in tuberculosis hospital and the clinical manifestation and therapy measures of found cases.Methods Routine antibody detection among 3 707 tuberculosis inpatients was conducted between Feb.1995and Feb.1999.Results Among the 3 707cases,there were 4 cases of HIV(+),positive rate was 1.08‰,3 were male and 1 female.Average age was 29.5,accounting for 3.14‰ among the 21～40 age group.Among the four,one was due to hematogenous infection,2 due to heterosexual infection,and 1 not sure for either of the causes.The four might all be diagnosed as having AIDS.Conclusion For tuberculosis patients at risk of HIV infection,especially young and middle-aged,routine HIV antibody detection should be conducted,and adverse reaction should be paid particular attention when conducting antituberculosis therapy for patients of combined infection of HIV/MTB.Concurrent integrated chinese traditional and western medical therapy against AIDS can obtain the better near-term therapeutic effect.