支气管镜检查对艾滋病痰菌阴性肺结核的诊断价值

发布时间：2018-01-23 04:41

本文关键词： 支气管镜艾滋病肺结核诊断　出处：《中国内镜杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨电子支气管镜检查在艾滋病(AIDS)中对痰菌阴性肺结核的应用价值。方法回顾性分析该院诊断为AIDS且临床表现、胸部CT、实验室检查高度怀疑肺结核且痰结核菌阴性的65例患者支气管镜肺泡灌洗液抗酸染色涂片(BAL)、灌洗液结核分枝杆菌培养、刷检、活检结果。结果 65例病例中,BAL液抗酸染色涂片阳性14例(21.54%),BAL液结核分枝杆菌培养阳性20例(30.76%),支气管镜刷检阳性24例(36.92%),35例根据支气管镜下表现予以支气管镜活检,阳性21例(60.00%),支气管镜联合不同方法确诊43例(66.15%)。结论在AIDS患者中,对痰菌阴性且高度怀疑肺结核患者进行支气管检查具有重要诊断意义。
[Abstract]:Objective to evaluate the value of electronic bronchoscopy in the diagnosis of sputum negative pulmonary tuberculosis in AIDS patients. Methods the clinical manifestations of AIDS and chest CT were analyzed retrospectively. Laboratory examination of 65 patients with highly suspected pulmonary tuberculosis and negative sputum tuberculosis in bronchoalveolar lavage fluid acid-fast staining smear BALA, Mycobacterium tuberculosis in the lavage fluid culture, brushing. Results among 65 cases, 14 cases were positive for acid-fast staining in BAL solution and 20 cases were positive for Mycobacterium tuberculosis in BAL solution. Bronchoscopic biopsy was performed in 35 cases according to the findings of bronchoscopy in 24 cases (36.92%), and 21 cases were positive (60.002%). Conclusion in patients with AIDS, bronchial examination with negative sputum bacteria and highly suspected pulmonary tuberculosis has important diagnostic significance.
【作者单位】：湖南省长沙市第一医院呼吸内科;
【基金】：湖南省卫生厅科研基金(No:B2014-145)
【分类号】：R521;R512.91
【正文快照】： 艾滋病(acquired immunodeficiency syndrome,AIDS)是一种由人类免疫缺陷病毒(human immunodeficiencyvirus,HIV)的反转录病毒感染后,造成机体免疫功能受损,并发一系列机会性感染及肿瘤的综合征。近年来,我国HIV感染人数不断上升,截止2016年2月,中国存活的HIV/AIDS病例已接近6

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