Fausto James A, Selwyn Peter A
Palliative Care Program, Department of Family and Social Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3347 Steuben Avenue, Bronx, NY 10467, USA.
Prim Care. 2011 Jun;38(2):311-26, ix. doi: 10.1016/j.pop.2011.03.010.
The basic elements of palliative care can be translated into practice for patients with HIV/AIDS. More than half of clinical events and deaths occurring among patients on highly active antiretroviral therapy are classified as non-AIDS illnesses. Thus, end-of-life care for patients with late-stage AIDS needs to include any palliative measures that are used for patients without AIDS. This article reviews the epidemiology of HIV/AIDS, prognostic indicators, opportunistic infections, specific AIDS-defining and non-AIDS-defining malignancies, substance abuse/liver disease, and highly active antiretroviral therapy and comfort measures for late-stage AIDS patients.
姑息治疗的基本要素可应用于艾滋病毒/艾滋病患者。接受高效抗逆转录病毒治疗的患者中，超过一半的临床事件和死亡被归类为非艾滋病疾病。因此，晚期艾滋病患者的临终关怀需要包括用于非艾滋病患者的任何姑息治疗措施。本文综述了艾滋病毒/艾滋病的流行病学、预后指标、机会性感染、特定的艾滋病界定和非艾滋病界定的恶性肿瘤、药物滥用/肝脏疾病、高效抗逆转录病毒治疗以及晚期艾滋病患者的舒适护理措施。
