摘要
目的了解艾滋病合并肺结核的临床特点。方法随机选取我院近年来收治的艾滋病合并肺结核病例(A组)及单纯肺结核病例(B组)各40例进行回顾性对照分析。结果 A组发热、体重下降较B组多见,盗汗较B组少见;痰涂片抗酸染色、痰结核分枝杆菌培养阳性率A组显著低于B组;血清结核抗体检测、PPD结核菌素试验阳性率A组显著低于B组;痰普通菌培养白色念珠菌检出率A组显著高于B组。结论艾滋病合并肺结核临床表现不典型,痰结核菌及免疫学检测阳性率低。
Objective To improve the understanding and correctness of diagnosis of pulmonary tuberculosis patients with HIV （ ＋ ）/AIDS. Methods 40 cases of pulmonary tuberculosis patients with HIV（ ＋ ）/AIDS in our hospital since 2005 were randomly chosen and used as the observation group （Group A）. And 40 cases of pulmonary tuberculosis patients without HIV（ ＋ ）/AIDS in our hospi- tal at the same time were also randomly chosen and considered as the control group （Group B）. A retrospective analysis was conducted be- tween these two groups. Results Pyrexia and weight losing in group A were more frequent than that in group B, whereas night sweating was less frequent in group A than that in group B. The positive rate of acid-fast bacilli （ AFB）, tubercle bacillus in the sputum, tubercle bacillus specific antibody in serum and PPD tuberculin of group A were significantly lower than those of group B. However, the positive rate of eandida in sputum culture analysis of group A was significantly higher than that of Group B. Group A and B have no remarkably differences in other diagnoses. Conclusion The clinical presentations of pulmonary tuberculosis patients with HIV （ ＋ ）/AIDS are dis- tinct from that of HIV （ - ） pulmonary tuberculosis patients.
出处
《临床肺科杂志》
2012年第12期2222-2223,共2页
Journal of Clinical Pulmonary Medicine
关键词
艾滋病
人免疫缺陷病毒
肺结核
临床特点
AIDS （ the acquired human immunodeficiency syndrome）
HIV （ human immunodeficiency virus）
PTB （ pulmona- ry tuberculosis）
clinical presentation
