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时间:2020-05-09
《艾滋病合并慢性乙型肝炎患者视网膜病变的临床分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、24·论著·中国肝月序病杂志(电子版)》2014年第6眷第3期艾滋病合并慢性乙型肝炎患者视网膜病变的临床分析刘罡,曾义岚,陈竹,胡蓉,王丽,蔡琳。(1.四川省肿瘤医院,成都610041;2.成都市公共卫生临床医疗中心,成都610066)摘要:目的研究AIDS合并CHB患者的视网膜病变的临床特征及治疗效果。方法对6M~JAIDS合并CHB患者进行间接检眼镜检查,总结其视网膜病变的眼部症状、眼底情况、CD4T淋巴细胞水平、治疗及转归等情况。结果患者视网膜病变主要表现为视网膜棉絮斑(29例)、出血(12例)、血管异常(6例)、巨细胞病毒性视网
2、膜炎(cMvR)(16例)和全葡萄膜炎(2例)。发生视网膜病变患者的CD4T细胞计数多小于200细胞/pl(61例,93.8%);且随着CD4T细胞计数的下降,眼部病变的发生率随之上升(P<0.05)。经治疗后,棉絮斑及出血均在3个月内消退,但可出现新病灶;CMVR患者的治疗有效率是81.3%(13例),但有4例患者在停药3~4周内复发。结论AIDS合并CHB患者的视网膜病变主要表现为棉絮斑、出血、血管异常和巨细胞病毒性视网膜炎,多见于CD4T细胞计数较低者,且发病率随着CD4T细胞计数降低而增加。AIDS合并CHB患者应常规行眼科检查
3、,以期早期诊断和早期治疗视网膜病变。关键词:获得性免疫缺陷综合征;肝炎,乙型,慢性;视网膜病变;T淋巴细胞ClinicalcharacteristicsofretinopathyinpatientswithacquiredimmunodeficiencysyndromemergedwithchronichepatitisBLIUGang,ZENGYi-lan,CHENZhu,HURong,WANGLi,CAILin.CancerHospitalofSichuanChengdu610041.China;2.PublicHealthClin
4、icalCenterofChengdu.Chengdu61006~ChinAbstract:0bjeefiveToexploretheclinicalcharacteristicsandtherapeuticeficacyofretinopathyinacquiredimmunodeficiencysyndrome(AIDS)mergedwithchronichepatitisB(CHB).MethodsTotalof65caseswithAIDSmergedwithCHBwasexaminedbyindirectophthalmosc
5、opy,andtheeyesymptom,funduschange,CD4Tcellcount,therapiaandturnoverofpatientswithretinopathywereanalyzed.ResultsTheretinopathywasincludingcottonwoolpatches(29cases),hemorrhage(12cases),ascellumvascellum(6cases),cytomegalovirusretinitis(i6CaSeS)andpanuveitis(2cases).TheCD
6、4+Tlymphocytecountwaslowerthan200cells/plmostly(93.8%),whilethemorbidityrisedwiththedescendedCD4Tlymphocytecount.Aftertherapy,thecottonwoolpatchesandhemorrhageresolvedinthreemonths,whiletheeffectiverateofcytomegalovirusretinitis(CMVR)was81.3%,but4casesrecurredinthreetofo
7、urweeksafterwithdrawa1.ConclusionsThemaincharacteristicsofretinopathyinAIDSmergedwithCHBarecottonwoolspot,hemorhage,ascellumvascellumandCMVR,mostlyappearinpatientswithlowerCD4Tlymphocytecount,increasedincidencealongwithCD4Tcellcountreduced.AIDSwimCHBpatientsshouldbeexami
8、nedbyophthalmologyexaminationroutinely,whichisimpo~antforearlydiagnosisandtreatmentofretinopathy.Keywor
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