摘要
目的总结艾滋病（AIDS）并发卡氏肺孢子虫肺炎（PCP）的诊断、治疗经验,分析预防性服药与防止复发的关系。方法对2000年7月-2002年5月作者所在医院收治的109例AIDS患者中并发PCP的20例患者的临床资料进行回顾性分析。结果20例患者均有发热、胸闷、气促,18例有咳嗽或咳痰,16例胸片呈间质样改变。经复方新诺明或氨苯砜治疗和治愈后预防性服药,有效率为75％（15/20）,复发率为6.7％（1/15）。结论对HIV感染者或AIDS患者,有典型的肺炎临床表现,胸片呈间质性改变,复方新诺明或氨苯砜治疗有效,可以诊断为PCP,并按PCP治疗;预防性服用复方新诺明可以降低AIDS患者PCP的发生率及复发率,值得推广应用。
Objective To report our experience indiagnosis and treatment of AIDS complicated by Pneumocystis Carirdi Pneumonia (PCP), and explore the relations between preventive medication and occurrence as well as recurrence of PCP. Methods The clinical characteristics of 20 patients with ADDS complicated by PCP (identified from a cohort of 109 patients with AIDS) treated in our hospital during July 2000 to May 2002 were analyzed. Results All the 20 cases had fever, 90% of whom also had cough or expectoration, and chest radiography revealed bilateral interstitial changes in 80% of the cases. Conclusion It is possible to diagnose PCP by typical clinical findings and chest X-ray, and compound sulfamethoxazole may prove effective for preventing the occurrence of PCP.
出处
《第一军医大学学报》
CSCD
北大核心
2002年第9期855-856,共2页
Journal of First Military Medical University
