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目的探讨艾滋病(AIDS)患者临床及血液分析特点。方法收集2005年3月至2009年3月本院消化科确诊的20例AIDS患者病史、临床表现及血液检验资料并进行总结分析。结果本组AIDS患者血常规普遍存在淋巴细胞比率、血红蛋白、红细胞总数下降;血生化大部分存在白蛋白、胆碱酯酶及白/球比率下降,乳酸脱氢酶、转氨酶升高,以及电解质紊乱(Ca2+↓、Na+↓、Cl-↓、K+↓);血沉普遍增快、C-反应蛋白升高、肿瘤标志物CEA升高及甲状腺功能异常常常同时存在。结论 AIDS病人常以消化道症状为主而就诊,临床及血液分析检查呈现多器官系统损害表现。
Objective To explore the clinical and blood analysis features of AIDS patients. Methods The history, clinical manifestations and blood test data of 20 AIDS patients diagnosed in our department from March 2005 to March 2009 were collected and analyzed. Results The prevalence of lymphocytes, hemoglobin and total erythrocyte in blood of AIDS patients in this group were decreased. Most of blood biochemistry had albumin, decreased cholinesterase and white / glob ratio, increased lactate dehydrogenase and aminotransferase, and electrolyte imbalance (Ca2 + ↓, Na + ↓, Cl- ↓, K + ↓); ESR generally increased, elevated C-reactive protein, CEA increased tumor markers and thyroid dysfunction often exist. Conclusions AIDS patients are mainly treated by gastrointestinal symptoms, and clinical and blood tests show multiple organ system damage.