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艾滋病合并肺结核的免疫功能变化

The Immune Functions of HIV Infection/AIDS Complicated with Pulmonary Tuberculosis.
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摘要 目的 探讨艾滋病合并肺结核的免疫功能变化。方法 回顾分析 1997年 12月~ 2 0 0 2年 12月住院的艾滋病并发肺结核病末稍血 CD4与 PPD皮试反应并以无并发肺结核病的 HIV感染 /艾滋病者相比较。结果  5例艾滋病并发肺结核病的 PPD皮试反应均为阴性。仅 1例痰涂片找到抗酸杆菌 ,痰结核菌培养均阴性。末稍血 CD4细胞计数除 1例 2 6 4个 / u L外 ,余 4例均极度减低。结论  HIV感染 /艾滋病的末稍血的 CD4细胞数下降。合并肺结核病时更为严重 ,表明两病并存时机体的免疫功能进一步下降。 Objective To analysis the relationship between CD 4 cell level in peripheral blood and PPD skin reaction on AIDS complicated pulmonary tuberculosis. Method (1)Retrospectively analysis the CD 4 cell level in peripheral blood and PPD skin reaction on inpatients with AIDS complicated with pulmonary tuberculosis and to compared with HIV infection/AIDS who do not complicated pulmonary tuberculosis.Result The PPD skin test were negative in 5 cases AIDS complicated with pulmonary tuberculosis. The sputum tubercle bacilli was positive only in one case. The CD 4 cell level in peripheral blood was >200/uL only one case.Conclusion The CD4 cell level in peripheral blood maybe decreased by HIV infection/AIDS. If it's complicated pulmonary tuberculosis.
机构地区 深圳市东湖医院
出处 《临床肺科杂志》 2003年第4期310-311,共2页 Journal of Clinical Pulmonary Medicine
关键词 HIV感染 艾滋病 肺结核 免疫功能 HIV Intection Tuberculosis Immune Function
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参考文献4

  • 1汪钟贤.艾滋病与结核病流行病学、临床及预防[J].中国防痨杂志,1996,18(1):39-41. 被引量:56
  • 2Fishman AP. Fishman's pulmonary diseases and disorders, 3rd.New York : McGraw-- Hill Companies, 1998; 2103-2120.
  • 3Madebo T, Lindt jom B,Nysceter G. Malmutrition, HIV infection and clinical features of pulmonary tuberculosis. Tuberc Lung Dis,1997;1:68-74.
  • 4Robert W. Sharer, Brian R. Edlin: Tuberculosis in patients infected with Human Immunodeficiency Virus: perspective on the past Decade. Clinical infection Diseases, 1996 ; 22: 683-704.

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