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重症监护病房中的艾滋病:治疗结果。

AIDS in ICUs: outcome.

作者信息

Deam R, Kimberley A P, Anderson M, Soni N

机构信息

Department of Anaesthetics, Westminster Hospital, London.

出版信息

Anaesthesia. 1988 Feb;43(2):150-1. doi: 10.1111/j.1365-2044.1988.tb05487.x.

Abstract

The admission of patients with acquired immune deficiency syndrome (AIDS) to intensive care units in the United Kingdom was surveyed in January 1986. Ninety-three intensive care units completed the questionnaire. Thirty-two patients had been admitted to 12 units up to that time. Twenty-five (78%) of these patients had received artificial ventilation of the lungs. The commonest cause of respiratory failure on admission was Pneumocystis carinii pneumonia; this occurred in 27 patients, seven of whom also had pulmonary cytomegalovirus infection. Four patients had Kaposi's sarcoma and three of these patients also had Pneumocystis carinii pneumonia. The overall mortality was 72%; twenty (80%) of the patients who required artificial ventilation, died. Ten patients survived to leave the intensive care unit, but one patient died of respiratory failure prior to discharge home.

摘要

1986年1月,对英国收治获得性免疫缺陷综合征(艾滋病)患者的重症监护病房进行了调查。93个重症监护病房完成了问卷调查。截至当时,已有32名患者被收治到12个病房。其中25名(78%)患者接受了肺人工通气。入院时呼吸衰竭最常见的原因是卡氏肺孢子虫肺炎;27名患者出现这种情况,其中7名还患有肺巨细胞病毒感染。4名患者患有卡波西肉瘤,其中3名患者也患有卡氏肺孢子虫肺炎。总死亡率为72%;需要人工通气的患者中有20名(80%)死亡。10名患者存活并离开重症监护病房,但有1名患者在出院回家前死于呼吸衰竭。

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