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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.

DOI:10.1111/j.1365-2044.1988.tb05487.x
PMID:3354810
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。

相似文献

1
AIDS in ICUs: outcome.重症监护病房中的艾滋病:治疗结果。
Anaesthesia. 1988 Feb;43(2):150-1. doi: 10.1111/j.1365-2044.1988.tb05487.x.
2
Aetiology and prognostic factors of patients with AIDS presenting life-threatening acute respiratory failure.患有危及生命的急性呼吸衰竭的艾滋病患者的病因及预后因素。
Eur Respir J. 1995 Nov;8(11):1922-8. doi: 10.1183/09031936.95.08111922.
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Improved outcome for young children with AIDS, Pneumocystis carinii pneumonia, and acute respiratory failure.艾滋病合并卡氏肺孢子虫肺炎及急性呼吸衰竭幼儿的预后改善。
Pediatr Pulmonol. 1994 Aug;18(2):114-8. doi: 10.1002/ppul.1950180211.
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Outcome of mechanical ventilation in children with acquired immunodeficiency syndrome.获得性免疫缺陷综合征患儿机械通气的结局
Pediatr Pulmonol. 1989;7(4):230-4. doi: 10.1002/ppul.1950070408.
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ICU survival of patients with the acquired immunodeficiency syndrome.获得性免疫缺陷综合征患者在重症监护病房的生存情况。
Crit Care Med. 1986 Dec;14(12):1026-7. doi: 10.1097/00003246-198612000-00006.
6
Pneumocystis carinii pneumonia and respiratory failure in AIDS. Improved outcomes and increased use of intensive care units.艾滋病患者的卡氏肺孢子虫肺炎与呼吸衰竭。预后改善及重症监护病房使用增加。
Am Rev Respir Dis. 1991 Feb;143(2):251-6. doi: 10.1164/ajrccm/143.2.251.
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Respiratory failure in children with acquired immunodeficiency syndrome and acquired immunodeficiency syndrome-related complex.获得性免疫缺陷综合征及与获得性免疫缺陷综合征相关综合征患儿的呼吸衰竭
Pediatrics. 1988 Aug;82(2):223-8.
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Concurrent bacterial lung infection in patients with AIDS, PCP, and respiratory failure.艾滋病、肺孢子菌肺炎和呼吸衰竭患者并发的细菌性肺部感染。
Chest. 1992 May;101(5):1399-403. doi: 10.1378/chest.101.5.1399.
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Intensive care of patients with HIV infection: utilization, critical illnesses, and outcomes. Pulmonary Complications of HIV Infection Study Group.HIV感染患者的重症监护:利用情况、危重病及结局。HIV感染肺部并发症研究组
Am J Respir Crit Care Med. 1997 Jan;155(1):67-71. doi: 10.1164/ajrccm.155.1.9001291.
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Intensive care unit patients with acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia: suggested predictors of hospital outcome.获得性免疫缺陷综合征合并卡氏肺孢子虫肺炎的重症监护病房患者:医院结局的预测指标建议
Crit Care Med. 1991 Jul;19(7):892-900. doi: 10.1097/00003246-199107000-00012.

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Can J Infect Dis Med Microbiol. 2017;2017:7868954. doi: 10.1155/2017/7868954. Epub 2017 Feb 27.
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Intensive Care Usage by HIV-Positive Patients in the HAART Era.高效抗逆转录病毒治疗时代HIV阳性患者的重症监护使用情况
Interdiscip Perspect Infect Dis. 2011;2011:847835. doi: 10.1155/2011/847835. Epub 2011 Oct 30.