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以消化系症状为主就诊的艾滋病患者临床及血液学特点分析

Clinical and hematologic features of AIDS patients with symptoms of digestive tra ct as their historyof chief complaint
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摘要 目的探讨艾滋病(acquired immunodeficiency syndrome,AIDS)患者临床及血液分析特点。方法收集我院消化科确诊的20例AIDS患者的病史、临床表现及实验室检测资料并进行总结分析。结果本组AIDS患者血常规普遍存在淋巴细胞比例、血红蛋白、红细胞总数下降;血生化大部分存在白蛋白、胆碱酯酶及白/球蛋白比率下降,乳酸脱氢酶、转氨酶升高,以及电解质紊乱(Ca^2+↓、Na^+↓、Cl^+↓、K^+↓);血沉普遍增快、C-反应蛋白升高,肿瘤标志物CEA升高及甲状腺功能异常常同时存在。结论AIDS病人常以消化道症状为主而就诊,临床及血液分析检查呈现多器官系统损害表现。 Objective To investigate the clinical and hematologic features of patients with AIDS. Methods Retrospective analysis of the data of 20 patients with AIDS in respect of their case history, clinical manifestations, and hematological characteristics. Results Blood general test showed that the number of lymphocyte, erythrocyte and contents of haematoglobin were generally decreased, content of albumin, cholinestcrase and ratio of albumin to globulin often decreased in serum samples, but lactic acid dehydrogenase, glutamate-pyruvate transaminase and glutamic oxalacetic transaminase always step up, meanwhile, electrolyte disturbances usually appeared in AIDS patients. In addition, blood sedimentation sped up and C-reactive protein step up almost presented in every AIDS patient, carcinoembryonic antigen step up and disfunction of thyroid gland especially free triiodothyronine decreased often accompanied with AIDS patients. Conclusions Symptoms of digestive tract were generally to be regarded as their history of chief complaint for AIDS patients, in most cases, characterilistics of blood analysis of AIDS patients presented with muti-systemic lesion.
出处 《世界感染杂志》 2009年第5期314-316,323,共4页 World Journal of Infection
关键词 人类免疫缺陷病毒 艾滋病 血液分析 机会性感染 多器官损害 Human immunodeficiency virus acquired immunodeficiency syndrome (AIDS) blood analysis opportunistic infection muti-systemic lesion
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