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总结HIV并肺TB的临床及胸部X线表现特点。方法:分析了86例HIV阳性病人肺TB的临床及胸部X线表现,男45例、女41例,年龄17~58岁。结果:咳嗽、胸痛、发热、消瘦、皮疹等为常见症状,但无特异性。X线表现:病变多位于中下肺野,单侧浸润稍多于双侧,多为浸润型肺TB(70例),可合并心包炎、气胸。肺空洞少见。结论:HIV阳性合并肺TB,临床表现无特征性;X线表现:结核浸润可发生于任何肺段,多见于中下肺野,空洞形成较少,有别于单纯性肺TB。
Summary of HIV and pulmonary TB clinical and chest X-ray features. Methods: Clinical and chest X-ray findings of lung TB in 86 HIV-positive patients were analyzed. There were 45 males and 41 females, aged 17-58 years. Results: Cough, chest pain, fever, weight loss, rash and other common symptoms, but not specific. X-ray findings: More lesions in the lower lung field, unilateral infiltration slightly more than bilateral, mostly infiltrating pulmonary TB (70 cases), can be combined pericarditis, pneumothorax. Lung cavity rare. Conclusion: There are no clinical manifestations in HIV-positive pulmonary TB. X-ray findings: Tuberculous infiltration can occur in any pulmonary segment, more common in the middle and lower lung fields, with fewer voids, distinct from simple pulmonary TB.