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[艾滋病患者的卡氏肺孢子虫肺炎。37例临床演变情况]

[Pneumocystis carinii pneumonia in AIDS patients. Aspects of clinical evolution in 37 cases].

作者信息

Brechot J M, Dore M F, Capron F, Bouvet A, Waked M, Rochemaure J

机构信息

Service de Pneumologie, Hôtel Dieu de Paris.

出版信息

Rev Pneumol Clin. 1989;45(3):114-7.

PMID:2587892
Abstract

This study concerns 37 cases of Pneumocystis carinii pneumonia in AIDS patients. The time elapsed between human immunodeficiency virus (HIV) seropositivity and the onset of pneumocystosis has been established. Three clinical types are individualized. In cases with normal X-ray films of the chest, measurement of carbon dioxide transfer capacity, always reduced, has led to a bronchoalveolar lavage which provided an early diagnosis. In spite of good response to treatment, the prognosis of pneumocystosis is poor owing to the frequency of associated diseases.

摘要

本研究涉及37例艾滋病患者的卡氏肺孢子虫肺炎。已确定从人类免疫缺陷病毒(HIV)血清阳性到肺孢子虫病发病之间的时间间隔。确定了三种临床类型。对于胸部X线片正常的病例,二氧化碳转运能力测量值总是降低,这促使进行支气管肺泡灌洗,从而实现早期诊断。尽管对治疗反应良好,但由于合并疾病的发生率较高,肺孢子虫病的预后较差。

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