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[51例艾滋病合并心血管损害的尸检结果]

[The autopsy findings in 51 cases of AIDS with cardiovascular damage].

作者信息

Rosales Guzmán I, Rosales L, Zghaib A

机构信息

IMSS, Instituto Nacional de Cardiología Igancio Chávez, INCICH, Tlalpan, México, D.F.

出版信息

Arch Inst Cardiol Mex. 1994 Sep-Oct;64(5):485-90.

PMID:7840732
Abstract

We describe the cardiovascular abnormalities found at autopsy in patients with AIDS and a description of the opportunistic infections in these cases studied between January 1988 and August 1993. There were 51 cases with such diagnosis. Pericardial effusion appeared in 9, pleural effusion in 7, myocarditis in 5, 7 with pericarditis, endocarditis in 6, left ventricular hypertrophy in 20, right ventricular hypertrophy in 21 and evidence of atherosclerosis in 15. Thus, data of cardiovascular damage was present in 42.7% of our patients. The cardiovascular abnormalities in this group are common, in contrast to the paucity of clinical findings. Diagnosis of cardiac pathology was made in only 12% of them. So in every case with diagnosis of AIDS, a careful clinical examination and cardiac diagnostic oriented tests must be done for detection of these abnormalities.

摘要

我们描述了1988年1月至1993年8月间研究的艾滋病患者尸检时发现的心血管异常情况,并对这些病例中的机会性感染进行了描述。共有51例此类诊断病例。心包积液9例,胸腔积液7例,心肌炎5例,心包炎7例,心内膜炎6例,左心室肥厚20例,右心室肥厚21例,动脉粥样硬化证据15例。因此,我们的患者中有42.7%存在心血管损害数据。与临床发现的匮乏形成对比的是,该组中的心血管异常情况很常见。其中只有12%的病例做出了心脏病理学诊断。所以在每一例艾滋病诊断病例中,都必须进行仔细的临床检查和以心脏诊断为导向的检查,以检测这些异常情况。

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