Pneumothorax in HIV/AIDS patients
10.3760/cma.j.issn.1671-7368.2017.08.014
- VernacularTitle:HIV/艾滋病患者合并气胸的临床分析
- Author:
Pan XIANG
;
Hongxin ZHAO
- Keywords:
HIV infections;
Acquired immunodeficiency syndrome;
Pneumothorax;
Pneumonia,pneumocystis
- From:
Chinese Journal of General Practitioners
2017;16(8):624-627
- CountryChina
- Language:Chinese
-
Abstract:
A total of 3 177 HIV/AIDS patients were admitted in Beijing Ditan Hospital,Capital Medical University from January 2009 to December 2015,among whom pneumothorax developed in 50 cases with a morbidity rate of 1.6％.Twenty six HIV/AIDS patients with pneumothorax died with a case fatality rate of 52.0％ (26/50).Pneunocystis jirovecii pneumonia (PCP) was the dominant lung disease related to pneumothorax (37/50).Risk factors of pneumothorax were assessed among 40 HIV/AIDS patients with PCP undergoing mechanical ventilation in ICU,including 20 cases with pneumothorax and 20 cases without pneumothorac.Multivariate logistic regression analysis revealed that positive end-expiratory pressure (PEEP) was independent risk factor of pneumothorax in HIV/AIDS patients with PCP under mechanical ventilation (OR =2.490,95 ％ CI:1.302-4.763,P =0.01).
