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人类免疫缺陷病毒感染的血液学表现

Hematologic manifestations of infection with the human immunodeficiency virus.

作者信息

Balea M

机构信息

N. Gh. Lupu Institute of Internal Medicine, Bucharest, Romania.

出版信息

Rom J Intern Med. 1994 Apr-Jun;32(2):87-118.

PMID:7920333
Abstract

Selective tropism of human immunodeficiency virus (HIV) for cells with CD4 receptors and especially for TH lymphocytes--key cells in hematopoiesis--has from the clinico-biologic point of view a great many hematologic manifestations of which knowledge is essential for a good diagnosis and treatment as well as for a judicious estimation of prognosis. Thus the study presents the hematologic entities specifically associated with HIV infection (such as ITP, NHML) as well as the hematologic entities associated with HIV infection without presenting a causal relationship with the latter. The study also discusses the quantitative and morphologic changes of peripheral blood and of bone marrow often enlightening for the disease and its complications. An important chapter in the study is devoted to the hematologic changes induced by the HIV infection therapy as well as by the manners of therapeutic approach to the complex hematologic problems raised by the disease.

摘要

人类免疫缺陷病毒(HIV)对具有CD4受体的细胞,特别是对造血关键细胞TH淋巴细胞具有选择性嗜性。从临床生物学角度来看,这有许多血液学表现,了解这些表现对于良好的诊断和治疗以及明智地评估预后至关重要。因此,本研究介绍了与HIV感染特异性相关的血液学实体(如特发性血小板减少性紫癜、非霍奇金淋巴瘤)以及与HIV感染相关但与后者无因果关系的血液学实体。该研究还讨论了外周血和骨髓的定量及形态学变化,这些变化常常有助于了解该疾病及其并发症。研究中的一个重要章节专门论述了HIV感染治疗引起的血液学变化,以及针对该疾病引发的复杂血液学问题的治疗方法。

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