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目的:对于我县艾滋病和结核病双重病菌感染的临床特点和表现进行研究和总结。方法:选取58位艾滋病患者,他们都是我院从2007年5月份到2012年5月份期间收治的病人,都为男性患者,年龄在23到52岁,平均年龄是32.8岁。其中通过性途径感染的病例有30例,占总人数的52%;静脉吸毒感染的有27例,占总人数的46%;有1例患者感染的途径不详,占总人数的2%。分析他们流行病学资料、影像学检查、实验室检查、临床表现以及治疗的情况[1]。结果:这次治疗的患者都为男性,主要通过性传播的途径感染的,在临床上的表现为消瘦、发热、全身乏力、酸痛、肺部有杂音,PPD实验阳性率比较低。结论:艾滋病合并结核病人的临床表现不一,病情也是非常复杂的,发生肺外结核的现象比较多,在X线的表现上也不典型,死亡率比较高。
Objective: To study and summarize the clinical features and manifestations of HIV and TB infection in our county. Methods: Fifty-eight AIDS patients were selected, all of whom were admitted to our hospital from May 2007 to May 2012. All patients were male patients, ranging in age from 23 to 52 years with a mean age of 32.8 years. Among them, 30 cases were infected by sexual route, accounting for 52% of the total number of cases; 27 cases were intravenous drug abuse infection, accounting for 46% of the total number of cases; 1 case was infected with 2% of the total number of cases. Analysis of their epidemiological data, imaging studies, laboratory tests, clinical manifestations and treatment [1]. Results: The patients were all male and mainly infected by sexual transmission. The clinical manifestations were emaciation, fever, malaise, soreness and lung murmur. The positive rate of PPD was lower. Conclusion: The clinical manifestations of HIV / AIDS patients with tuberculosis (TB) are different and the condition is very complicated. The incidence of extrapulmonary tuberculosis is relatively high, and the manifestations of X-ray are not typical. The mortality rate is relatively high.