Singer P, Askanazi J, Akiva L, Bursztein S, Kvetan V
General Intensive Care Unit, Rambam Medical Center, Haifa.
Heart Lung. 1990 Jul;19(4):387-94.
The number of patients with the acquired immunodeficiency syndrome (AIDS) admitted to hospitals is increasing dramatically. Treatments such as zidovudine, aerosolized pentamidine, and nutritional support are being administered to subacutely ill patients with increasing effectiveness. The number of patients with AIDS treated in intensive care units, on the other hand, has been decreasing progressively, perhaps as a result of a mortality rate close to 90%. However, because recent data demonstrate (1) a lower mortality rate in patients with AIDS who receive mechanical ventilation and (2) the ability to reverse the wasting syndrome in selected groups, we propose a reassessment of the criteria for intensive care unit admission of patients with AIDS.
因获得性免疫缺陷综合征（艾滋病）而入院的患者数量正在急剧增加。齐多夫定、雾化喷他脒以及营养支持等治疗手段正应用于病情处于亚急性期的患者，且疗效不断提高。另一方面，在重症监护病房接受治疗的艾滋病患者数量却在逐渐减少，这可能是由于死亡率接近90%所致。然而，鉴于近期数据表明：（1）接受机械通气的艾滋病患者死亡率较低；（2）特定群体的消瘦综合征能够得到逆转，我们建议重新评估艾滋病患者入住重症监护病房的标准。
