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目的:结艾滋病合并卡氏肺孢子虫肺炎疾病患者的临床特点。方法:2005年10月至2015年10月我院住院部确诊并收治的艾滋病合并卡氏肺孢子虫肺炎疾病患者共计128例作为研究对象,对患者临床资料进行回顾分析。对本组128例艾滋病合并卡氏肺孢子虫肺炎患者的临床特点进行回顾分析。结果:本组128例患者中81例有发热症状,75例有进行性呼吸困难症状,80例有紫绀症状。血生化指标显示LDH升高患者共108例。患者胸片影像学以肺部纹理改变为主,构成比明显高于其他改变(P<0.05)。经治疗后,112例治愈,13例死亡,另3例转ICU观察。结论:艾滋病合并卡氏肺孢子虫肺炎疾病患者临床表现以发热、紫绀、进行性呼吸困难为主,血生化LDH升高显著,胸片显示患者多有肺部纹理改变征象。确诊后及时用复方磺胺甲恶唑进行治疗可收到满意效果,值得临床重视。
Objective: To summarize the clinical features of AIDS patients with Pneumocystis carinii pneumonia. Methods: From October 2005 to October 2015, a total of 128 AIDS patients diagnosed and treated with Pneumocystis carinii pneumonia in our hospital were enrolled in this study. The clinical data of the patients were retrospectively analyzed. The clinical features of 128 patients with Pneumocystis carinii pneumonia were retrospectively analyzed. Results: Of the 128 patients in this group, 81 had fever, 75 had progressive dyspnea and 80 had cyanosis. Blood biochemical indicators showed elevated LDH in patients with a total of 108 cases. Chest radiography in patients with lung texture changes, the composition ratio was significantly higher than the other changes (P <0.05). After treatment, 112 cases were cured, 13 died, the other 3 cases were observed ICU. Conclusion: The clinical manifestations of AIDS patients with Pneumocystis carinii pneumonia are fever, cyanosis and progressive dyspnea. The blood biochemical LDH is significantly elevated. The chest radiograph shows that there are many signs of lung texture changes. After the diagnosis of compound sulfamethoxazole for treatment can receive satisfactory results, it is worth clinical attention.