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目的:探析以霉菌性食管炎为首发症状的艾滋病的临床基本情况。方法:选取2002年11月-2012年11月收治的以霉菌性食管炎为首发症状的10例艾滋病感染者,均行胃镜、血尿常规、腹部B超、心电图、胸部X线以及HIV抗体筛查等辅助性检查,对患者的临床基本情况和检查与治疗情况分别统计分析。结果:患者临床均主要出现食欲不振、体重减轻、胸骨后闷痛以及吞咽不适等症状;胃镜检查显示均出现隆起白斑,部分患者食管部位出现溃疡或水肿,少数患者食管腔出现狭窄;HIV抗体筛查及CDC确认实验结果均显示为阳性;7例患者血常规检查显示异常,2例患者尿常规检查显示异常;腹部B超检查、心电图检查、胸部X线检查结果均未见异常;患者均转入专科医院接受专业性治疗,3例患者中途放弃治疗,另7例治疗均显示病情好转。结论:对霉菌性食管炎患者中疑似发生艾滋病的患者,应通过临床全面的检查尽早予以确诊,并及早进行专科治疗,以利于临床治疗效果的改善。
Objective: To investigate the basic clinical situation of AIDS with fungal esophagitis as the first symptom. Methods: A total of 10 HIV-infected patients with fungal esophagitis as the first symptom were selected from November 2002 to November 2012. All patients underwent gastroscope, hematuria, B-ultrasound, electrocardiogram, chest X-ray and HIV antibody screening And other auxiliary examination, the clinical situation of patients and check and treatment were statistically analyzed. Results: The main clinical symptoms were appetite loss, weight loss, sore throat and swallowing discomfort and other symptoms; gastroscopy showed bulging white spots, some patients with esophageal ulcers or edema, a small number of patients with esophageal stenosis; HIV antibody The results of screening and CDC confirmed positive results. Seven patients showed abnormal blood tests and two patients showed abnormal urine tests. Abdominal B-ultrasound, electrocardiogram and chest X-ray showed no abnormalities. All patients Into the specialist hospitals to receive professional treatment, 3 patients give up treatment halfway, and the other 7 cases of treatment showed improvement. Conclusion: Patients with suspected esophageal mycoticitis should be diagnosed as soon as possible by clinical comprehensive examination, and specialist treatment should be carried out as early as possible to facilitate the improvement of clinical treatment.