Jordan K S
Section of Emergency Medicine, University of California Irvine Medical Center.
Int Nurs Rev. 1989 Mar-Apr;36(2):57-9.
It is difficult to describe a "typical" clinical picture of a person with acquired immunodeficiency syndrome (AIDS) who is seen in the emergency department. The clinical course and the early clinical manifestations that lead to the initial diagnosis of AIDS vary greatly. Variability is the rule, because the patient with AIDS may manifest a wide range of signs and symptoms--from those associated with a minor illness to those indicative of a critical near-death state. Indeed, some patients with AIDS have no complaints or relatively minor constitutional complaints before becoming acutely compromised as a result of an overwhelming opportunistic infection. Other patients have a relatively short history (weeks to months) of vague, nonspecific complaints.
描述一名在急诊科就诊的获得性免疫缺陷综合征(AIDS)患者的“典型”临床表现很困难。导致AIDS初步诊断的临床病程和早期临床表现差异很大。变异性是常态,因为AIDS患者可能表现出广泛的体征和症状——从与轻微疾病相关的症状到表明处于危急濒死状态的症状。事实上,一些AIDS患者在因严重的机会性感染而急性失代偿之前没有任何不适或仅有相对轻微的全身症状。其他患者有相对较短(数周数月)的模糊、非特异性不适病史。