论文部分内容阅读
2000年5月25日,在我院住院部病人中发现1例AIDS,现报告如下。1 流行病学调查 患者,男,29岁,已婚,维吾尔族,新疆伊宁县人,有长期吸毒史。患者病情为肺结核、脾脓肿伴腹膜炎。患者2000年4月1日以来无明显原因感间歇性腹痛、恶心、纳差、有吞咽疼痛,进食后感胸骨后烧灼、梗阻,易感冒,病程中有咳嗽,咳白色粘液伴胸痛,发热、盗汗、腹泻等症状。2000年5月25日,患者来我院门诊。捡查所见:WBC 2.8 × 109/L、Hb85/L,CT示:脾肿大(8个肋单位)、脾脓肿形成伴腹膜炎、腹水少量,X线胃肠钡餐示肠粘连,痰液检见抗酸杆菌,收传染科给予环丙沙星注射液抗感染和能量合剂以及利福中等药治疗,病情不见好转,于2000年6月10日作抗-HIV检查,结果为阳性,经市卫生防疫站复检和自治区卫生防疫站确认,为抗-HIV(+)。
May 25, 2000, in our hospital inpatient found 1 cases of AIDS, are as follows. A epidemiological survey of patients, male, 29 years old, married, Uygur, Xinjiang Yining County, a long history of drug abuse. Patient’s condition is tuberculosis, spleen abscess with peritonitis. Patients since April 1, 2000 no apparent reason for intermittent abdominal pain, nausea, anorexia, swallowing pain, chest sensation after eating burning, obstruction, cold, cough in the course of cough, cough, white cough with chest pain, fever, Night sweats, diarrhea and other symptoms. May 25, 2000, patients came to our hospital. Picking and see the findings: WBC 2.8 × 109 / L, Hb85 / L, CT showed: splenomegaly (8 rib units), the formation of splenic abscess with peritonitis, ascites a small amount of X-ray gastrointestinal barium intestinal adhesion, sputum seized See acid-fast bacilli, the Department of Infectious Diseases given ciprofloxacin anti-infective and energy mixture and the treatment of middle-class medicine, the disease did not improve, on June 10, 2000 for anti-HIV test, the result was positive, the city Health and Epidemic Prevention Station re-examination and autonomous regional health and epidemic prevention station confirmed as anti-HIV (+).