Clinical analysis of 71 cases diagnosed first as Pneumocystis carinii pneumonia in AIDS
10.3760/cma.j.issn.1008-6706.2015.01.021
- VernacularTitle:首诊为耶氏肺孢子虫肺炎的艾滋病71例临床分析
- Author:
Shanchang WANG
- Publication Type:Journal Article
- Keywords:
Acquiredimmunodeficiency Syndrome;
Pneumonia;
Epidemiology
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(1):63-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the epidemiological and clinical features of patients with AIDS initially diagnosed as Pneumocystis carinii pneumonia(PCP).Methods The retrospective epidemiological survey and clinical study was conducted on the material from 71 patients with AIDS who were initially diagnosed as PCP.Results All cases in this group were admitted to hospital in a critical condition,with fever,dry cough,fatigue,dyspnea and hypoxemia; X-ray and CT showed increased lung markings,thickening,miliary and (or) ground glass-like changes 67 cases (62.0％) ;most cases had significantly lower CD4+ T lymphocyte and peripheral blood lymphocyte counts,leading to a high death rate.PCP were used sulfamethoxazole therapy,64 cases crued,7 death.Conclusion PCP in AIDS has clinical and epidemiological characteristics.Paying more attention to epidemiological survey,along with timely confirmation and treatment will be beneficial to improve the prognosis of PCP.
