一河南女子淋巴结肿大查出艾滋
发布时间: 2011-04-15 07:16 来源: 进入电子报
楚天都市报讯 (记者陈媛 通讯员刘宇 章必成)一名患者淋巴结莫名肿大,怀疑是肿瘤,多方检查仍无法确诊,最后通过血液检查,查出病因在于艾滋病。
37岁的河南女子陈娟(化名)10年前曾有输血史,最近无明显诱因,全身多处淋巴结出现肿大,排除了结核、风湿、白血病,一个月前,她住进广州军区武汉总医院肿瘤科,做了各项检查仍无法确诊。此后,她逐渐消瘦,还伴有低热、水肿等症状。
为了给患者补充白蛋白,医生在输血前给她作了乙肝、梅毒、艾滋病、丙肝4项检查。没想到,这个普通的检查终于查出了病因——艾滋病。
肿瘤科主任高建飞教授介绍,临床上经常碰到不明原因的淋巴结肿大患者,尤其以颈部、腋窝和腹股沟最为常见,其最常见的原因是炎症、结核、淋巴瘤、转移性癌等。
他说,所有艾滋病毒感染者都有潜伏期,此期患者可无任何临床症状,但部分患者会出现全身淋巴结肿大。所以,发现无明显原因的淋巴结肿大,医生一定要仔细追问性生活史和输血、献血史。
艾滋病不治会早死,早治才康复 艾滋病不治会早死,早治才康复 艾滋病不治会早死,早治才康复 艾滋病不治会早死,早治才康复
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图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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Lymph nodes of a woman found HIV in Henan
Posted: 2011-04-15 07:16 Source: enter e-paper
Metropolis Daily News (Xinhua correspondent Chen Yuan Liu Zhang will become) an inexplicable swollen lymph nodes in patients with suspected tumor, multiple checks are still not diagnosed, and finally through a blood test and find out the cause is AIDS.
37-year-old woman from Henan Chen Juan (a pseudonym) had history of blood transfusion 10 years ago, the latest no obvious incentive, the body appears in various lymph nodes, excluding tuberculosis, rheumatism, leukemia, a month ago, she was admitted to the Guangzhou Military Region, Wuhan General Hospital, Oncology, still can not do the inspection confirmed. Since then, she gradually weight loss, accompanied by fever, edema and other symptoms.
To supplement of albumin to patients, doctors gave her before transfusion hepatitis B, syphilis, AIDS, hepatitis C 4 inspection. Unexpectedly, this check has finally found a common cause - AIDS.
Oncology director Professor Gao Jianfei introduction, often encountered clinically enlarged lymph nodes in patients with unexplained, particularly in the neck, armpits and groin is most common, the most common cause is inflammation, tuberculosis, lymphoma, metastatic cancer.
He said all people living with HIV have the incubation period, this period may be no clinical symptoms of patients, but some patients appear lymphadenopathy. So, found no obvious cause of the lymph nodes, doctors must carefully ask sexual history and blood transfusion, blood donation history.
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