目的 提高非感染科医生对艾滋病(AIDS)的早期识别能力,减少误诊.方法 回顾性分析总结望京医院呼吸科2011年6月～2013年1月期间确诊的3例因重症肺炎住院治疗的AIDS患者的临床特点.结果 AIDS发生肺部感染时病情重,3例均诊断为卡氏肺孢子虫(PCP)肺炎,均合并Ⅰ型呼吸衰竭,影像学均表现为间质感染,同时合并口腔念珠菌感染,与普通社区获得性肺炎(CAP)不同.结论 AIDS患者症状、影像学改变与体征不匹配,其发病特点、影像学表现与普通CAP有明显差别,据此可以提高AIDS的早期诊断率.%Objective To improve the non-infectious department doctors' identification ability to AIDS in early stages,and to reduce clinical misdiagnosis.Methods Retrospective analysis was used to summarize the clinical characteristics of 3 AIDS patients who were diagnosed on severe pneumonia and hospitalized in respiratory medicine department of Wangjing hospital from June 2011 to January 2013.Results The condition of patients with AIDS were found worse when combined with lung infection.3 patients were diagnosed to be Pneumocystis Carinii Pneumonia (PCP),all were found combined with type-Ⅰ respiratory failure.The interstitial infections was showed by imaging,oral candidiasis was found concomitant simultaneously.This disease was different from general community-acquired pneumonia (CAP).Conclusion The AIDS patients' symptoms and imaging changes do not match physical sign.Meanwhile,the incidence characteristics and imaging findings are significantly different from ordinary CAP.Accordingly,it can improve the diagnostic rate of AIDS in early stages.
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