患上胸积水去省外医院看病 七旬大妈被误诊得了艾滋病


患上胸积水去省外医院看病 七旬大妈被误诊得了艾滋病

 
 
 
 
 
患上胸积水去省外医院看病 七旬大妈被误诊得了艾滋病

http://www.yunnan.cn  发布时间 2009-08-13 08:02:08 星期四    来源:云南网   
 

误诊结果一度让大妈的生活如同陷入黑暗 记者 江洋/摄

陕西和云南两地的检测结果截然相反

按照规范流程,对于HIV阳性判定一般要经过3次以上的不同检测。

“我都70多岁了,怎么也想不通自己会患艾滋病。”昨天,在云南省传染病医院,曹大妈(化名)告诉记者,她因为患胸积水到省外看病,竟被当地医生告知患了艾滋病,并被当地的疾病预防控制中心确诊。“快一年了,我一直被当做艾滋病病人。现在终于查清了,这里的医生诊断我没有患艾滋病。”她激动地流下眼泪。

患胸积水到省外看病

昨天,在省传染病医院见到曹大妈时,她的精神气色都非常好。“如果不是生病一年多,我的精神还会更好。”曹大妈说,“我没有患艾滋病,胸积水治疗得也很好,再观察几天,就可以出院了。”

曹大妈告诉记者,去年10月,她患胸积水,大女儿在西安工作,便把她接去看病。当地的医院输血浆化验时,居然“发现”她的HIV呈阳性。

意外查出“艾滋病”

艾滋病检测有严格的程序。一般的医院通常只有在手术前,产前或者输血等才检查HIV,即使查出来也是不能确诊的,必须向上级疾病预防控制中心上报和复核确诊。并且艾滋病检测实行实名制,一旦确诊艾滋病,要在艾滋病专报网上登记姓名,以利于艾滋病防控。

为此,曹大妈专门抽了血,到当地的疾病预防控制中心做艾滋病检测,HIV检测结果也为阳性,建议她转到治疗艾滋病的专科医院去治疗。

回到云南接受治疗

“我都70多岁了,怎么还会得艾滋病?!”得知检测结果,曹大妈当时就急哭了。曹大妈说,她思前想后,自己没有感染艾滋病的途径,怎么突然间就患了这种病了呢?她怎么也想不通,一次次地以泪洗面。

全家人知道后,儿子在网上查询了相关资料,云南有个艾滋病关爱中心,就在省传染病医院,便为曹大妈联系到这里治疗。“要相信这个病是可以治疗和控制的,”老伴给她很大的鼓励。

和病友成了好朋友

“我突然成了艾滋病人,到专科医院接受治疗,周围都是艾滋病友。”曹大妈说,刚到医院时,心里很难受,医生护士一次次地开导,让她慢慢平静下来接受治疗,并且开始找来防治艾滋病的书籍,了解相关知识。

“渐渐的,我开始觉得艾滋病不可怕了。”曹大妈说,在传染病院,她认识了很多病友,他们来自不同的行业,有的还很年轻。通过治疗,好几个病友身体得到恢复,高兴地出院回去工作,并且还一直和曹大妈保持着电话联系。

可疑病情引起怀疑

曹大妈住进传染病院后,医生先为她治疗胸积水,让人非常惊讶的是,她没有发生艾滋病引起的各种机会性感染,并且在还没有服用治疗艾滋病的药物之前,她体内的CD4病毒抗体一下子就升上去了,达到了正常人的水平。

这些疑点引起了医生的注意,包括云南引进的第一个防治艾滋病的医学博士汪习成等医生,都开始怀疑曹大妈是否患病。

5次复查都呈阴性

医生向曹大妈要来了她的身份证,冒着风险,先后用了5种不同的检测方法为她复查,结果都是阴性,她没有患艾滋病。

省传染病院感染一科主任王丽介绍,按照惯例,一个地方的疾病预防控制中心确诊的艾滋病,其他地方和机构一般不再复查。要做复查,就像推翻一个已经定性的案子一样,需要非常慎重。

昨天,王丽向记者出示了两份检测结论的复印件,一份的日期是去年10月8日,上面的结论为阳性;另一份的日期是今年7月28日,结论是阴性,上面的各项指标都是正常人的水平。

王丽说,“我们保留了所有的检测样本,如果患者或省外的机构需要,我们可以提供。”

患艾滋结论被否定

今年6月10日,曹大妈接到了传染病院的通知,通过反复复查,最终否定了她患艾滋病的结论。7月份,传染病院正式为曹大妈出具了书面的复查结论。

“得到这个好消息,当时高兴得一下子高血压都发了。”曹大妈说高兴之余,全家人联名给医院写了一封感谢信。

现在,曹大妈准备写申请,请省外的疾病预防控制中心在艾滋病专报网上消去她的名字。至于其他的事情,她暂时还没有考虑。

多种因素可致假阳性

“这件事对于患者来说当然是让人高兴的,但作为同行,我们还是很慎重。因为医院不是仲裁机构,只能保证自己的结论准确。”省传染病院检验科主任杨绍敏说,省传染病院的艾滋病实验室经过国家疾病预防控制中心和云南省卫生厅考核验收,并且用了5种不同的检测方法,结果都是阴性,这个结论应该是准确的。

至于曹大妈前后的检测为什么会不同,杨绍敏分析,检测过程中,很多环节都可能影响到检测结果。比如,检测过程中,血液有一点点的污染,就会影响到检测结果。还有,患其他免疫系统疾病和自身抗体的问题,也会影响检测结果。曹大妈的HIV检测结果出现了“假阳性”,自身免疫抗体出现问题的可能性比较大。

艾滋病感染者是否有自愈的可能?杨绍敏表示,在网上看见过国外有这种说法,但目前我省还没有这样的例子出现。

记者 王劲松 实习生 黄思源 张杰(春城晚报)

Suffering from chest water to hospitals outside the seven-year AIDS Mother had been misdiagnosed
Misdiagnosis water chest AIDS
http://www.yunnan.cn Published Thursday, 2009-08-13 08:02:08
Source: Yunnan Net
Misdiagnosis results so that Mother's life was plunged into darkness as reporter Jiang Yang / photo

Shaanxi and Yunnan to the test results of two diametrically opposed

Process in accordance with the norms for the general to determine the HIV-positive after 3 or more different detection times.
"I have more than 70 years old, how could not figure them out they will also suffer from AIDS." Yesterday, the infectious disease hospital in Yunnan Province, Cao Mother (a pseudonym) told reporters that she had died of chest outside water to see a doctor, just to inform local doctors suffering from AIDS, and the local Center for Disease Control and Prevention confirmed. "Almost a year, I have been as AIDS patients. Now we finally find out, and here I am not diagnosed with AIDS." She moved to tears.
Suffering from chest to the outside water treatment
Yesterday, in the province to see the Cao Mother Hospital for Infectious Diseases, her spirit is very good complexion. "If it were not sick for more than a year, my spirit will be even better."妈说Cao, "I did not suffer from AIDS, the treatment of thoracic effusion was also very good, and then observed a few days, can be discharged on."
Mother Cao told reporters that in October last year, she suffering from chest water, work in Xian daughter out of her then to see the doctor. Local hospital transfusion laboratory plasma, the actually "found" she's HIV positive.
Accident identified "AIDS"
AIDS strict testing procedures. Only general hospitals before surgery, blood transfusion, such as prenatal screening, or HIV, even if the check is not confirmed to be superior to the Center for Disease Control and Prevention report and review diagnosis. AIDS testing and the real-name system, once the diagnosis of AIDS, in AIDS-line registration at the names of professionals in order to facilitate the prevention and control of AIDS.
To this end, Cao Mother specialized pumping blood to the local Center for Disease Control and Prevention AIDS testing, HIV test results are positive, and suggested that she go to hospital for treatment of AIDS treatment.
Back to Yunnan for treatment
"I have more than 70 years old, how could get AIDS?!" That the test results, Cao Mother was crying on the urgency.妈说Cao, and she after thinking their way is not infected with HIV, how suddenly suffering from the disease on the case? How she puzzled, a face wash times to tears.
Know the family, the son of the relevant information online, Yunnan has a Center for AIDS care, infectious disease hospital in the province, it is linked to the Mother Cao treatment here. "To believe that this disease can be treated and controlled," his wife for her great encouragement for us.
And patients have become good friends
"I suddenly became the AIDS to the Specialist Hospital, surrounded by the Friends of AIDS."妈说Cao first arrived at the hospital, the hard heart, doctors and nurses repeatedly taught, so she slowly calmed down for treatment, and the fight against AIDS began to get a large book to understand the relevant knowledge.
"Gradually, I began to think that AIDS is not terrible."妈说Cao, in the hospital for infectious diseases, she knew a lot of patients, they come from different industries, some very young. Treatment, several patients have been the restoration of the body, is pleased to go back to work and discharged, and has been maintained and Cao Mother phone.
Suspicious illness caused by suspected
Cao Mother was admitted to hospital for infectious diseases, the doctor for her first treatment of thoracic and water, people are very surprised that she did not occur in a variety of AIDS opportunistic infections, and treatment of AIDS has not yet taken the drug before the body of her CD4 antibody or go suddenly, and reached the normal level.
These doubts led to the attention of doctors, including the introduction of the first Yunnan AIDS Prevention, MD, Wang Xi-cheng, such as doctors, are beginning to question whether Mother Cao illness.
5 meeting to review both negative
Mother doctors want to come to the CAO her identity, at risk, has spent five kinds of different detection methods for her review, the result is negative, she did not suffer from AIDS.
Infection in a provincial hospital for infectious diseases, director of Wang introduced, in accordance with established practice, a local Center for Disease Control and Prevention of AIDS diagnosed in other places and institutions in general no longer be reviewed. Review to be done, like the overthrow of a case has been characterized as the need for a very cautious manner.
Yesterday, Wang told reporters the two detection to produce a copy of the conclusions, a date of October 8 last year, the above conclusion is positive; another date is July 28 this year, the conclusion is negative, the above the indicators are the level of normal.
Wang said, "We retain all the testing samples, if the patients or the need for outside agencies, we can provide."
Conclusions to be suffering from HIV negative
June 10 this year, Cao Mother received a notice of hospital for infectious diseases, through repeated review, and ultimately rejected the conclusions of her suffering from AIDS. In July, the official hospital for infectious diseases for Mother Cao issued a written review of the conclusions.
"Get the good news, at that time delighted to have made all of a sudden high blood pressure."妈说Cao glad for the whole family to the hospital jointly wrote a letter of thanks.
Now, the CAO will write applications for Mother, please outside of the Center for Disease Control and Prevention reported that AIDS professionals eliminate her name online. As for other things, she did not take the time being.
A variety of factors can cause false-positive
"This matter is of course for the patient is happy, but as a peer, we very carefully. Because the hospital is not the arbitration body and it can only guarantee the accuracy of their conclusions." Laboratory director of the provincial hospital for infectious diseases, said杨绍敏, provincial transmission Hospital Laboratory of AIDS through the National Center for Disease Control and Prevention and the Yunnan Provincial Health Department examination acceptance and use of the five kinds of different detection methods, the results are negative, this conclusion should be accurate.
As for testing before and after Cao Mother why different杨绍敏analysis and testing process, many areas are likely to affect the test results. For example, the detection process, the blood a little bit of pollution, it will affect the test results. In addition, suffering from other immune system diseases and the problem of auto-antibodies, can also affect test results. Cao Mother's HIV test results a "false positive" antibodies autoimmune problems more likely.
AIDS Is there the possibility of self-healing?杨绍敏that seen online this is foreign, but also in our province there is no such examples.
Wang Jinsong Huang Siyuan intern reporter Zhang Jie (Spring City Evening News)
 
 
 
 
 
 

[ 作者:佚名    转贴自:本站原创    点击数:196    更新时间:2009-8-13    文章录入:nnb ]

 

康生丹四代新药,化学名—三合皂甙分类引述
 

艾滋病免疫重建的重要意义是挽救生命的根本 点击 213

从食品植物研究开发的治疗艾滋病新药三合皂甙〔康生丹四代〕介绍  点击 567

从食品植物研究开发的治疗艾滋病新药三合皂甙  点击 245

从食品植物研究开发的治疗艾滋病新药介绍  点击 189

艾滋病的中药  点击 56

论HIV不是AIDS的病因机制 点击 78

康生丹颗粒简介 点击 67

美国营养学家推崇“抗炎饮食”同于中医之食疗 点击 123

康生丹颗粒基础研究 点击 59

艾滋病预防及国外食疗研究 点击 61

艾滋病感染者能活多久 点击  232

专家:艾滋病早治疗能多活30年以上“隐形”感染者进入晚期才被确诊 点击 99

T细胞、T细胞亚群、 调节性(或抑制性)T细胞在艾滋病康复中的研究 点击 89

你知道为什么害怕“艾滋病”这三个字么?艾滋病不同感染期症状 点击 1118

康生丹颗粒〈ksd〉对免疫抑制模型小鼠免疫功能影响实验研究-公布  点击 27

食疗与艾滋病研究-康生丹颗粒〈一〉  点击 159

艾滋病未来康复的动向分析  点击 227

艾滋病人的药膳  点击 43

首次公布康生丹提高艾滋病患者CD4的图片  点击 1379