摘要
目的:探讨艾滋病合并结核病的临床特点。方法:对2003年2月～2008年1月我院收治的30例艾滋病合并结核病的患者进行临床分析。结果:30例患者中以肺结核(21例,70.0%)及淋巴结结核(11例,36.7%)为主;蛋白纯化衍生物(PPD)试验弱阳性3例(10.0%),痰涂片、痰培养查抗酸杆菌仅2例阳性(9.5%)。30例患者治疗前CD4+T淋巴细胞计数明显低于其他未合并结核病的艾滋病患者(P<0.01)。结论:艾滋病合并结核病患者PPD试验阳性率低,淋巴结结核较多见。治疗前CD4+T明显降低。
Objective：To discuss the clinical features of patients with AIDS complicated by tuberculosis（TB）.Methods：The clinical features of 30 cases with AIDS complicated by tuberculosis admitted from February 2003 to January 2008 were retrospectively analyzed.Results：Out of the 30 cases,21 cases （70.0%）showed pulmonary TB,and 11 cases （36.7%） showed lymph node TB. Slightly positive PPD test was found in 3 cases （10.0%）, and positive acid-fastbacilli was detected in sputum in 2 cases （9.5%）. The pre-treatment CD4＋ cell number in 30 cases was much lower than that in AIDS patients without complicated TB（P〈0.01 ）.Conclusion：For patients with AIDS complicated by TB ,the high negative rate in PPD test.However,lymph node TB is quite common with high mortality.The pre-treatment CD4＋T level decreases significantly.
出处
《中国医药导报》
CAS
2008年第18期48-49,共2页
China Medical Herald
关键词
获得性免疫缺陷综合征
结核
临床观察
Acquired immunodeficiency syndrome
Tuberculosis
Clinical feature
