以腹痛为主要表现的获得性免疫缺陷综合征临床分析

摘要

[目的]探讨以腹痛为主要表现的获得性免疫缺陷综合征（A ID S ）的临床特征，以提高对该病的认识。[方法]对22例AIDS患者的临床资料进行回顾分析，并结合文献进行复习。[结果]全部患者均有腹痛（100％），其他主要症状为腹胀（77．3％）、腹泻（59．1％）、吞咽困难或吞咽疼痛（22．7％）、口腔炎或口腔真菌感染（18．2％）、纳差（72．7％）、乏力（68．2％）、不明原因发热（31．8％）、体质量减轻（40．9％）等，2例（9．0％）面部出现米糠样皮疹。胃镜下主要表现为胃黏膜充血水肿、糜烂，结肠黏膜主要表现为弥漫性或局限性充血水肿、糜烂或浅表溃疡等。[结论]AIDS以腹痛等消化系统症状为主要表现者比较多见，但临床表现无特异性，临床医务人员尤其是消化内科医师要不断提高对该病的认识，早诊早治，减少误诊。%Objective ] To investigate the clinical features of acquired immune deficiency syndrome (AIDS) with major manifestation of abdominal pain to enhance the cognition of it .[Methods] The clinical data of 22 AIDS patients with major manifestation of abdominal pain was analysed retrospectively and rele-vant literatures were reviewed .[Results] All of 22 AIDS patients had abdominal pain .The other major manifestations were abdominal distension(77 .3% ) ,diarrhea(59 .1% ) ,dysphagia or ingurgitation pain(22 . 7% ) ,stomatitis(18 .2% ) ,anorexia(72 .7% ) ,hypodynamia(68 .2% ) ,persistent fever(31 .8% ) and weight loss(40 .9% ) ,2(9 .0% ) cases had rice bran-like skin rash on face .Pathological changes of gastric and colon mucosa were hyperraemia ,edema ,erosion or superfical ulcer in endoscopy .[Conclusion]Digestive system symptoms are common in AIDS patients ,but they have no specificity .Clinical physicians ,especially gastro-intestinal physicians ,should improve the understanding of this disease for early diagnosis ,treat ment and reduce misdiagnosis .