论文部分内容阅读
目的对1例艾滋病合并肺结核病双重感染的临床表现及诊疗状况进行分析。方法选取艾滋病合并肺结核双重感染患者1例,对患者的临床特征及治疗方法进行归纳总结。结果患者以咳嗽、咳痰为首发临床表现,并伴有低热、盗汗、呼吸困难、全身乏力、体重下降,且合并浅表淋巴结肿大。经治疗,患者咳嗽、咳痰及全身乏力症状消失,CD4淋巴细胞计数明显升高、胸片示双肺未见明显异常。结论艾滋病合并结核双重感染并存时,肺结核是临床上最先表现的机会性感染,以咳嗽、咳痰为首要临床特征,当患者出现低热、盗汗、呼吸困难、全身乏力、体重下降等症状时,需要引起临床医师的高度重视,若诊断结核,需调整抗病毒治疗方案,减轻药物相互作用的同时积极抗结核治疗。
Objective To analyze the clinical manifestations and diagnosis and treatment of one case of double-infection of pulmonary tuberculosis complicated with tuberculosis. Methods One case of HIV-infected patients with dual infection of tuberculosis was selected, and the clinical features and treatment of the patients were summarized. Results Patients with cough, sputum as the first clinical manifestations, accompanied by fever, night sweats, breathing difficulties, malaise, weight loss, and combined with superficial lymph nodes. After treatment, patients cough, sputum and disappeared symptoms of generalized weakness, CD4 lymphocyte count was significantly increased, chest X-ray showed no obvious abnormalities. Conclusions In the coexistence of HIV and tuberculosis co-infection, tuberculosis is the first clinical manifestation of opportunistic infection. Cough and expectoration are the most important clinical features. When patients have symptoms such as fever, night sweats, dyspnea, generalized fatigue and weight loss, Need to attract the attention of clinicians, if the diagnosis of tuberculosis, antiviral treatment programs need to be adjusted to reduce drug interactions while active anti-TB treatment.