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目前,获得性免疫缺陷综合征(AIDS)患者,最常见的机会感染是卡氏肺孢子虫肺炎。本文除讨论 AIDS并发其它肺疾病外,重点讨论卡氏肺孢子虫肺炎的治疗。【卡氏肺孢子虫肺炎】美国 AIDS 并发本病者可达80%,死亡率10～30%,尤其合并呼衰者死亡率达90%以上。以往,美国AIDS 并发本病者年发病率35%,半年与1年复发率分别为35%及50～60%。预后不良的表现为:症状持续不减,多次复发者,胸片病灶广泛,严重低氧,血清 LDH
At present, the most common opportunistic infection in patients with Acquired Immune Deficiency Syndrome (AIDS) is Pneumocystis carinii pneumonia. In addition to discussing AIDS complicated with other pulmonary diseases, this article focuses on the treatment of pneumocystis carinii pneumonia. [Pneumocystis carinii pneumonia] AIDS in the United States up to 80% of patients with the disease, the mortality rate of 10 to 30%, in particular, combined respiratory failure mortality rate of 90% or more. In the past, the incidence of AIDS in the United States with an annual incidence of 35% of the disease, half a year and 1 year recurrence rates were 35% and 50 to 60%. Poor performance of the prognosis: symptoms continued unabated, multiple relapse, extensive chest X-ray, severe hypoxia, serum LDH