论文部分内容阅读
[目的]探讨以腹痛为主要表现的获得性免疫缺陷综合征(AIDS)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 explore the clinical features of Acquired Immune Deficiency Syndrome (AIDS) with abdominal pain as the main manifestation to improve its understanding of the disease. [Methods] The clinical data of 22 AIDS patients were retrospectively analyzed and reviewed in combination with the literature. [Results] All patients had abdominal pain (100%), other major symptoms were abdominal distension (77.3%), diarrhea (59.1%), dysphagia or swallowing pain (22.7%), stomatitis or oral fungal infection Anorexia (72.7%), fatigue (68.2%), unexplained fever (31.8%), weight loss (40.9%), and 2 cases (9.0% Gastroscopy is mainly manifested as gastric mucosal congestion and edema, erosion, colon mucosa mainly for diffuse or localized congestion and edema, erosion or superficial ulcers. [Conclusion] AIDS is the most common manifestation of gastrointestinal symptoms such as abdominal pain. However, clinical manifestations are nonspecific. Clinical medical staff, especially gastroenterologists, should continuously raise awareness of the disease, early diagnosis and early diagnosis, and reduce misdiagnosis.