新发传染病电子杂志2024,Vol.9Issue(2):59-63,5.DOI:10.19871/j.cnki.xfcrbzz.2024.02.012
HIV感染合并肺栓塞2例报道及文献复习
Case report and literature review of 2 patients with HIV infection complicated with pulmonary embolism
摘要
Abstract
Human immunodeficiency virus(HIV)infection is one of the chronic infectious diseases that seriously affect human health.Pulmonary embolism(PE)is a fatal disease caused by the blockage of the main or branches of the pulmonary artery by internal and external emboli.PE is not common in HIV-infected people,but it has attracted attention because of its high mortality rate.In this paper,the clinical data of 2 cases of HIV infection combined with PE were discussed in order to improve the understanding,attention and diagnosis of the disease.The two male patients were all over 40 years old,had a long history of smoking,had regular anti-HIV treatment,and were diagnosed with severe pneumonia and respiratory failure after admission,requiring long-term bed rest.After comprehensive treatment such as anti-infection,symptoms such as wheezing and shortness of breath did not improve significantly,and then chest imaging examination was performed to confirm PE,and comprehensive treatment such as anticoagulation was given.Due to the low immunity of HIV infected persons,they are easy to combine with other opportunistic infections,thus ignoring the typical clinical symptoms of PE chest pain,hemoptysis,and dyspnea,resulting in clinical missed diagnosis and misdiagnosis.Through the review of the case report and related literature in this paper,to improve the clinician's understanding of the disease,for patients with PE high risk factors to be vigilant,timely elimination,early diagnosis,early treatment.关键词
人类免疫缺陷病毒/感染/肺栓塞/静脉血栓栓塞症Key words
Human immunodeficiency virus/Infection/Pulmonary embolism/Venous thromboembo1ism分类
医药卫生引用本文复制引用
李梅,杨红红,唐光孝,刘倩,张绿浪..HIV感染合并肺栓塞2例报道及文献复习[J].新发传染病电子杂志,2024,9(2):59-63,5.基金项目
重庆市首批公共卫生重点学科(艾滋病方向) (艾滋病方向)