頁籤選單縮合
題 名 | Clinical Experience of HIV/AIDS in a Municipal Hospital in Taiwan=愛滋病毒感染及愛滋病在臺北市立仁愛醫院之臨床經驗 |
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作 者 | 吳彥林; 張棋禎; 張漢權; 楊靖慧; 廖學聰; | 書刊名 | 中華民國微生物及免疫學雜誌 |
卷 期 | 30:2 1997.05[民86.05] |
頁 次 | 頁24-35 |
分類號 | 414.84 |
關鍵詞 | 愛滋病毒感染; 愛滋病; HIV; AIDS; Opportunistic infection; |
語 文 | 英文(English) |
英文摘要 | 愛滋病毒已肆虐世界十餘年。本文乃一市立醫院關於愛滋病毒感染及愛滋病之臨 床經驗回顧。其中男性佔絕大多數,性行為依舊是最主要的傳染途徑,且異性間傳染已躍居 近幾年來之大宗;不過女性病患人數仍然偏低,可能的原因包括,有的同性戀者自稱為異性 戀者,以及女性病患人數被低估了。一般而言,預後皆不佳,因為大部份病患並不瞭解,什 麼是會招致愛滋病毒感染的高危險行為,以至於病患要表現出嚴重的愛滋病症狀之後,才會 尋求醫療協助。另外,愛滋病毒感染初期可能以新發作之精神病症狀來表現,這一點可能需 要多加注意。至於伺機性感染,與香港的情形頗為類似。肇因於肺囊蟲肺炎的咳嗽、呼吸短 促、及發燒,為病患最常求診的症狀。有一位病患感染青黴菌;目前青黴菌感染在東南亞地 區依然盛行,其生物學上的特性與致病性均與莢膜組織漿菌相似,因此有學者認為,青黴菌 感染亦應列入愛滋病診斷之指標病例。 d for 54.7% of the infections in the study group, and bi-/homosexual men made up another 32%. Psychosis of new onset was noted in two patients. In all AIDS indicator conditions, Pneumocystis carinii pneumonia (PCP) was the leading opportunistic infection among AIDS patients. PCP was also on the top of initial manifestations of HIV-1 infection. One patient with Penicillium marneffei infection was diagnosed to have AIDS. The mean CD4 count at admission of AIDS patients was much lower than that of non-AIDS patients (32 vs. 297/ μ l, p<0.0005). During the follow-up period 24 of 53 patients died. Mean survival time of 23 expired patients after establishment of diagnosis of AIDS was 6.4 (0~29) months. The results indicated that males outnumbered females greatly in the number of cases. Sexual activity remained the most important route of infection. Psychosis of new onset may be an early manifestation of HIV-associated encephalopathy and requires more attention. In addition, the outcome was poor as most patients in this area did not become aware of risk of HIV-1 infection until they were seriously illed with full-blown AIDS that they would seek medical help. PCP was the most common incentive for medical consultation. Penicillium marneffei infection is endemic in southeast Asia, and should be classified as an AIDS indicator condition in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。