摘要
目的研究分析艾滋病患者合并机会性感染的临床特点和预后措施。方法回顾性分析我院收治的154例艾滋病合并机会性感染患者的病历资料。结果 (1)细菌性肺炎感染率为55.19%,位居首位。口腔念珠菌病的感染率为40.25%,感染率排在第2。其他感染种类还包括肺孢子菌肺炎、肺外结核病、慢性肠炎、隐球菌脑炎、败血症、疱疹病毒感染、弓形虫脑病、感染性腹泻、霉菌性食管炎等。(2)患者的常见感染部位多为呼吸道,生殖道感染和血流感染并不多见,分别占3.25%、2.60%。(3)2个部位感染的患者感染率为42.86%,3个以上部位感染的患者感染率为12.34%。(4)艾滋病患者合并机会性感染的疾病风险较高的主要是重症细菌性肺炎,结核病脑炎和败血症的风险影响最小。结论艾滋病合并机会性感染患者临床特点显著,多种感染和多部位发生同时存在,有复杂的病情,死亡率高。
Objective To study the clinical characteristics and prognostic measures of opportunistic infections in AIDS patients. Methods Retrospective analysis of 154 cases of AIDS associated oppotunistic infections in our hospital. Results （1） bacterial infection rate was 55.19%, ranking first. The infection rate of mild candidiasis was 40.25%, the infection rate was second. Other types of infection include pneumococcal pneumonia, extrapulmonary tuberculosis, chronic enteritis, cryptococcal encephalitis, sepsis, herpes virus infection, toxoplasmosis encephalopathy, infectious diarrhea, fungal esophagitis. （2） the common site of infection in patients with respiratory tract, genital tract infection and bloodstream infection is rare, accounting for 3.25%, 2.60%. （3） The infection rate of patients infected with 2 parts was 42.86%, and the infection rate of patients infected with 3 parts or more was 12,34%. （4） The risk of AIDS patients with opporttmistic infections is mainly due to the risk of severe bacterial pneumonia, tuberculosis encephalitis and sepsis. Conclusion The clinical characteristics of patients with AIDS and opportunistic infections are significant. Multiple infections and multiple parts occur simultaneously. There are complicated diseases and high mortality rate.
作者
朱晓红
ZHU Xiaohong(Department of lnfectious Diseases, The Third People＇s Hospital at Nantong City, Nantong Jiangsu 226000, Chin)
出处
《中国继续医学教育》
2017年第17期106-107,共2页
China Continuing Medical Education
关键词
艾滋病
机会性感染
临床特点
预后
AIDS
opportunistic infection
clinical features
prognosis
