艾滋病并发症的影像学研究现状与临床应用
Research Status and Clinical Application of AIDS Complications Imaging
DOI: 10.12677/ACM.2016.62016, PDF, HTML, XML, 下载: 1,976  浏览: 4,241 
作者: 张荣萍, 王 涛, 宋立江:凉山州第一人民医院放射科,四川 西昌
关键词: 获得性免疫缺陷综合症并发症影像学AIDS Complications Imaging
摘要: 艾滋病患者死亡的主要原因是由于其机体免疫系统受到极度抑制甚至破坏而导致的多种并发症。依据病变起源可分为①人类免疫缺陷病毒病变(HIV)本身所致的病变。②机会性感染。③相关性肿瘤。艾滋病最常见的机会性感染是肺结核,双重感染时HIV和结核杆菌相互促进,相互影响,使患者病情更加复杂,并给患者带来沉重的身心负担和经济负担。因此,艾滋病的早期预防和并发症的正确诊断是提高患者治疗效果和生活质量的关键。
Abstract: The complications of AIDS that due to their immune system suppression and even received extreme damage are main causes of death in AIDS patients. Lesions can be divided according to the origin: ① The human immunodeficiency virus disease (HIV) itself induced lesions; ② opportunistic infections; ③ related tumors. The most common opportunistic infection of AIDS is tuberculosis. Double infections of HIV and Mycobacterium tuberculosis affect each other, promote each other, so the patient’s condition is more complex, bringing heavy physical and mental burden and economic burden to patients. The keys for improving the therapeutic efficacy of AIDS and life quality of AIDS patients are early identification of HIV carriers, advanced prevention of AIDS complications and accurate diagnosis of AIDS.
文章引用:张荣萍, 王涛, 宋立江. 艾滋病并发症的影像学研究现状与临床应用[J]. 临床医学进展, 2016, 6(2): 88-92. http://dx.doi.org/10.12677/ACM.2016.62016

参考文献

[1] 谢正平, 戴峰. AIDS合并粟粒样肺结核的HRCT表现与CD4+细胞相关性分析[J]. 放射性实践, 2013, 28(2): 150-153.
[2] Dokubo, E.K., Baddeley, A., Pathmanathan, I., et al. (2014) Provision of Antiretroviral Therapy for HIV-Positive TB Patients—19 Countries, Sub-Saharan Africa, 2009-2013. Morbidity and Mortality Weekly Report, 63, 1104-1107.
[3] 陶鹏飞, 杨欣平, 闵海燕, 等. 艾滋病合并30例肺结核的临床分析[J]. 临床肺科杂志, 2014, 19(5): 928-930.
[4] 罗广元. 尼日尔国家HIV(+)/AIDS合并肺结核98例临床分析[J]. 中国医药导报, 2010, 7(17): 147-148.
[5] Alvaro-Meca, A., Rodriguez-Gijon, L., Diaz, A., et al. (2014) Incidence and Mortality of Tuberculosis Disease in Spain between 1997 and 2010: Impact of Human Immunodeficiency Virus (HIV) Status. Journal of Infection, 68, 355-362.
http://dx.doi.org/10.1016/j.jinf.2013.12.003
[6] Niculescu, E.C., Dop, D., Diaconu, R., et al. (2014) Vertical Transmission of HIV÷TB in Newborns: A Case Report. Romanian Journal of Morphology and Embryology, 55, 1473-1476.
[7] 罗益贵, 陆普选, 乐晓华, 等. 艾滋病相关淋巴瘤的影像学表现[J]. 罕少疾病杂志, 2015, 22(2): 58-61.
[8] 李峰, 胡碧波, 刘蛟, 等. 艾滋病合并脑内机会性感染患者的CT影像学表现研究[J]. 中华医院感染学杂志, 2015, 25(1): 868-870.
[9] Kwan, C.K. and Ernst, J.D. (2011) HIV and Tuberculosis: A Deadly Human Syndemi. Clinical Microbiology Reviews, 24, 351-376.
http://dx.doi.org/10.1128/CMR.00042-10
[10] 卢亦波. 艾滋病合并肺结核并发免疫重建炎性综合征影像学研究进展[J]. 广西医学, 2014, 36(11): 1599-1601.
[11] 朱莹, 张志勇, 施裕兴, 等. 艾滋病合并分枝杆菌肺病的CT研究[J]. 放射性实践, 2013, 47(1): 17-23.
[12] 侯代伦. 肺结核病影像学诊断新进展[J]. 中国医疗设备, 2014, 29(7): 1-6.
[13] 王永新. 成人HIV/AIDS合并肺结核患者的临床表现和影像学分析[J]. 中外医疗, 2014(27): 195-196.
[14] Sermoneta, D., Gentili, V., Nucera, P., et al. (2015) Massive Pulmonary Embolism as a Rare Complication of a Stab in the Inguinal Region in a HIV-Positive Patient: A Case Report. European Review for Medical and Pharmacological Sciences, 19, 293-295.
[15] Safe, I.P., de Oliveira, V.C., Marinho, P.M., Lacerda, M.V. and Damian, M.M. (2014) Spontaneous Pneumothorax: A Fatal Complication in HIV-Infected Patients. The Brazilian Journal of Infectious Diseases, 18, 466.
http://dx.doi.org/10.1016/j.bjid.2014.04.004
[16] Fernando, I. and Scott, G. (2013) A Case of Multicentric Cas-tleman’s Disease in HIV Infection with the Rare Complication of Acquired Angioedema. International Journal of STD & AIDS, 25, 523-525.
http://dx.doi.org/10.1177/0956462413516941
[17] Chopra, V., Garg, N. and Mrigpuri, P. (2013) Spontaneous Pneumopericardium an Unusual Complication in a Patient of HIV and Pulmonary Tuberculosis. Lung India, 30, 148-150.
http://dx.doi.org/10.4103/0970-2113.110425
[18] Pott, H.J. and Castelo, A. (2013) Isolated Cerebellar Toxoplasmosis as a Complication of HIV Infection. International Journal of STD & AIDS, 24, 70-72.
http://dx.doi.org/10.1258/ijsa.2012.012189
[19] 李宏军. 中国艾滋病影像学研究现状与临床应用[J]. 磁共振成像, 2010, 1(5): 346-348.
[20] Golub, J.E., Cohn, S., Saraceni, V., et al. (2015) Long-Term Protection From Isoniazid Preventive Therapy for Tuberculosis in HIV-Infected Patients in a Medium-Burden Tuberculosis Setting: The TB/HIV in Rio (THRio) Study. Clinical Infectious Diseases, 60, 639-645.
http://dx.doi.org/10.1093/cid/ciu849
[21] Shiboski, C.H., Chen, H., Ghannoum, M., et al. (2014) Role of Oral Candidiasis in TB and HIV Co-Infection: AIDS Clinical Trial Group Protocol A5253. International Journal of Tuberculosis and Lung Disease, 18, 682-688.
http://dx.doi.org/10.5588/ijtld.13.0729
[22] Churchyard, G.J., Snowden, M.A., Hokey, D., et al. (2015) The Safety and Immunogenicity of an Adenovirus Type 35-Vectored TB Vaccine in HIV-Infected, BCG-Vaccinated adults with CD4+ T Cell Counts >350 cells/mm3. Vaccine, 33, 1890-1895.
http://dx.doi.org/10.1016/j.vaccine.2015.02.004
[23] Haridas, V., Pean, P., Jasenosk, L., et al. (2015) TB-IRIS, T-Cell Activation, and Remodeling of the T-Cell Compartment in Highly Immunosuppressed HIV-Infected Patients with TB. AIDS, 29, 263-273.
http://dx.doi.org/10.1097/QAD.0000000000000546
[24] 黄筠洋, 杨军克, 黄晓, 梁宗辉. 艾滋病肺部并发症的影像学表现[J]. 实用放射学杂志, 2012, 28(7): 1019-1022.
[25] 王青, 夏俊, 罗泽斌. 艾滋病合并肺结核的临床及影像学特征的研究进展[J]. 医学综述, 2013, 19(7): 1284-1286.
[26] 李家开, 于淼, 肖越勇, 杨立, 张金山. CT透视引导下经皮放射性I粒子永久植入治疗肺恶性肿瘤[J]. 中国医学影像技术, 2012, 28(9): 1664-1668.
[27] 卢亦波, 宋树林, 覃春乐, 等. 38例儿童艾滋病合并肺结核的临床及影像学特征分析[J]. 中国防痨杂志, 2013, 35(12): 1013-1019.
[28] 罗朝峰, 刘晶哲, 刘志博, 刘凯, 凌霄. 15例AIDS并发肺结核患者的胸部CT表现[J]. 中国实用诊断与治疗杂志, 2013, 27(10): 1004-1005.
[29] 姚升娟, 张晨. 胸部CT检查对AIDS肺部并发症的诊断价值[J]. 临床肺科杂志, 2013, 18(8): 1370-1371.
[30] 项弘平, 刘学东, 李天兴. 艾滋病患者合并肺结核与单纯肺结核的影像学特征比较[J]. 福建医药杂志, 2013, 35(3): 119-122.