关键词: 获得性免疫缺陷综合征, 肺炎

Abstract:

Objective To explore the comprehensive effect of empirical drugs combination in acquired immune deficiency syndrome (AIDS) patients with severe pneumonia opportunistic infection. Methods The one AIDS patients with severe pneumonia admitted to 967 Hospital of the Joint Logistics Support Force of PLA was retrospectively analyzed. The literature review was assessed.Results For the middle-aged men, the history of HIV/AIDS infection were nearly two years, the patient was admitted to hospital due to the weight loss for half a year, 1 month fever cough, increase breathing difficulties with 3 days. After hospitalization, the diagnosis was confirmed: ① severe pneumonia ② TypeⅠ respiratory failure ③ AIDS.The patient was carried out endotracheal intubation and ventilator breathing, with antibiotic therapy, and had enteral nutrition therapy after discharged, 2 months later on court appointment without symptoms of fever, cough, sputum, Reexamination of chest CT showed localized emphysema in the middle lobe of the right lung, absorption of double pneumonia, normal liver function and renal function. Conclusion For AIDS patient with severe pneumonia, the empirical drugs combination plays a key role on the patient's condition without etiological evidence. Ventilator support treatment and pulmonary protective ventilation are better protect and improve lung function, enteral nutrition treatment may contributed to the successful treatment.

Key words: acquired immune deficiency syndrome, pneumonia