[1]曹廷智.艾滋病合并淋巴瘤的临床病例分析[J].医学信息,2019,32(11):191-192.[doi:10.3969/j.issn.1006-1959.2019.11.060]
 CAO Ting-zhi.Clinical Case Analysis of AIDS with Lymphoma[J].Journal of Medical Information,2019,32(11):191-192.[doi:10.3969/j.issn.1006-1959.2019.11.060]
点击复制

艾滋病合并淋巴瘤的临床病例分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年11期
页码:
191-192
栏目:
出版日期:
2019-06-01

文章信息/Info

Title:
Clinical Case Analysis of AIDS with Lymphoma
文章编号:
1006-1959(2019)11-0191-02
作者:
曹廷智
深圳市第三人民医院感染一科,广东 深圳 518100
Author(s):
CAO Ting-zhi
Department of Infectious Diseases,Subject One,Shenzhen Third People's Hospital,Shenzhen 518100,Guangdong,China
关键词:
性病门诊淋巴瘤病例临床特征
Keywords:
Key words:STD clinicLymphomaClinical features of cases
分类号:
R512.91
DOI:
10.3969/j.issn.1006-1959.2019.11.060
文献标志码:
B
摘要:
目的 探究艾滋病合并淋巴瘤的病例临床特征。方法 选取2014年2月~2019年2月的25例艾滋病合并淋巴瘤患者为研究对象,分析患者临床表现、免疫指标、临床病理,患者的治疗效果及治疗前后生活质量评分。结果 25例患者均有浅表淋巴结肿大,23例间断性发热,20例体重下降。其中18例患者因肿瘤就诊,经HIV筛查确诊艾滋病,6例为先感染艾滋病,后发现肿瘤;CD4+T淋巴细胞为21~391 g/μl,平均为(136.74±21.78)g/μl;临床分期为Ⅰ期8例(32.00%),Ⅱ期7例(28.00%),Ⅲ期4例(16.00%),Ⅳ期6例(24.00%);治疗有效率为15例(60.00%)。治疗后患者的生活质量评分为(17.45±2.72)分,低于治疗前的(24.78±2.67)分,差异有统计学意义(P=0.0000)。结论 艾滋病合并淋巴瘤伴随多种临床症状,其免疫力低下,需及时给予有效治疗,改善预后。
Abstract:
Abstract:objective To investigate the clinical features of cases of AIDS with lymphoma. Methods 25 patients with AIDS and lymphoma from February 2014 to February 2019 were enrolled in the study. The clinical manifestations, immune parameters, clinical pathology, treatment effect and quality of life before and after treatment were analyzed. Results 25 patients had superficial lymphadenopathy, 23 patients had intermittent fever, and 20 patients had weight loss. Among them, 18 patients were diagnosed with cancer due to tumor diagnosis, 6 cases were diagnosed with AIDS by HIV screening, and 6 cases were infected with AIDS. CD4+ T lymphocytes were 21~391 g/μl, with an average of (136.74±21.78) g/μl; The clinical stage was 8 cases (32.00%) in stage I, 7 cases (28.00%) in stage II, 4 cases (16.00%) in stage III, and 6 cases (24.00%) in stage IV. The effective rate was 15 cases (60.00%). The quality of life score of the patients after treatment was (17.45±2.72) points, which was lower than that before treatment (24.78±2.67), and the difference was statistically significant (P=0.0000). Conclusion AIDS complicated with lymphoma is associated with a variety of clinical symptoms, and its immunity is low. It is necessary to give effective treatment in time to improve the prognosis.

参考文献/References:

[1]张瑶,韩冰,王连双,等.艾滋病合并特殊感染及肿瘤的超声声像图与超声造影表现[J].河北医药,2017,39(10):1514-1517. [2]曹婉娴.艾滋病合并结核病56例临床特征分析[J].安徽医药,2016,20(5):959-960. [3]胡天丽,刘晋新,张烈光,等.艾滋病相关淋巴瘤的CT影像表现及病理结果[J].首都医科大学学报,2016,37(4):472-476. [4]郭娜,画伟,杨仙珊,等.艾滋病合并隐球菌性脑膜脑炎42例临床分析[J].北京医学,2015,37(9):832-835. [5]李强,齐唐凯,沈银忠.以双侧胸腔积液为首发表现的艾滋病合并非霍奇金淋巴瘤一例[J].中华传染病杂志,2015,(5):303-304. [6]文乐敏,欧健,李伟新,等.从湿毒角度浅析壮族地区艾滋病合并颈淋巴瘤的发生和形成[A]//中华中医药学会防治艾滋病分会2015年学术会议论文集[C],2015:27-31. [7]陈枫,赵大伟,文硕,等.艾滋病相关胃肠道非霍奇金淋巴瘤的影像表现:4例报告并文献复习[J].医学影像学杂志,2015,25(10):1807-1811. [8]孙开宇,桂希恩,邓涤,等.53例艾滋病相关非霍奇金淋巴瘤患者的临床特征及预后分析[J].中华血液学杂志,2017,38(2):97-101.

相似文献/References:

[1]栾新宇,邓颖哲,李 萍.PDCA护理管理对淋巴瘤患者PICC护理效果分析[J].医学信息,2018,31(10):169.[doi:10.3969/j.issn.1006-1959.2018.10.059]
 LUAN Xin-yu,DENG Ying-zhe,LI Ping.Effect of PDCA Nursing Management on PICC Care of Patients with Lymphoma[J].Journal of Medical Information,2018,31(11):169.[doi:10.3969/j.issn.1006-1959.2018.10.059]
[2]卜 庆,池小钜.NCCN指南在淋巴瘤临床实习教学中的应用[J].医学信息,2018,31(24):28.[doi:10.3969/j.issn.1006-1959.2018.24.008]
 BU Qing,CHI Xiao-ju.Application of NCCN Guidelines in Clinical Practice Teaching of Lymphoma[J].Journal of Medical Information,2018,31(11):28.[doi:10.3969/j.issn.1006-1959.2018.24.008]
[3]李 鑫,阙文君,余泽波.以冷凝集素综合征为首发表现的淋巴瘤1例[J].医学信息,2020,33(12):188.[doi:10.3969/j.issn.1006-1959.2020.12.064]
[4]郭 俊,张建兴.颌下腺黏膜相关淋巴瘤伴大B细胞淋巴瘤转化1例报道[J].医学信息,2021,34(20):188.[doi:10.3969/j.issn.1006-1959.2021.20.052]
[5]徐广春.个性化护理在改善淋巴瘤化疗后血小板减少症中的作用及安全性[J].医学信息,2023,36(11):168.[doi:10.3969/j.issn.1006-1959.2023.11.036]
 XU Guang-chun.The Role and Safety of Personalized Nursing in Improving Thrombocytopenia After Lymphoma Chemotherapy[J].Journal of Medical Information,2023,36(11):168.[doi:10.3969/j.issn.1006-1959.2023.11.036]
[6]陈星妤,闵海燕,陶鹏飞,等.炎症因子在艾滋病合并淋巴瘤中的作用研究现况[J].医学信息,2024,37(03):180.[doi:10.3969/j.issn.1006-1959.2024.03.038]
 CHEN Xing-yu,MIN Hai-yan,TAO Peng-fei,et al.Research Status of the Role of Inflammatory Factors in AIDS Complicated with Lymphoma[J].Journal of Medical Information,2024,37(11):180.[doi:10.3969/j.issn.1006-1959.2024.03.038]

更新日期/Last Update: 2019-06-01