| 吕茹,胡志亮,孙丙虎,等.以黄疸为首发症状的艾滋病并卡波西肉瘤 1例并文献复习[J].安徽医药,2020,24(2):256-258. |
| 以黄疸为首发症状的艾滋病并卡波西肉瘤 1例并文献复习 |
| AIDS?associated Kaposi’s sarcoma with jaundice as the first symptom:a case and literature review |
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| DOI：10.3969/j.issn.1009?6469.2020.02.011 |
| 中文关键词: 获得性免疫缺陷综合征/并发症 肉瘤，卡波西 黄疸，阻塞性 文献复习 |
| 英文关键词: Acquired immunodeficiency syndrome/complications Sarcoma,kaposi Jaundice,obstructive Literature review |
| 基金项目:江苏省“十三五科教强卫工程”青年医学人才项目( QNRC2016059)；南京卫生科技发展专项资金项目( YKK18153) |
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| 中文摘要: |
| 目的总结艾滋病并卡波西肉瘤以黄疸为首发者的的诊治经验。方法回顾性分析南京市第二医院感染病科 2017年收治的 1例以黄疸为首发症状的艾滋病并卡波西肉瘤病人的临床资料，并复习相关文献资料。结果病人黄疸 1周入院，经抗感染、保肝降酶、退黄等对症治疗，黄疸仍迅速升高，且合并高热、咯血、呼吸衰竭，病情危重，皮肤紫蓝色结节活检提示卡波西肉瘤，经综合分析，考虑肿瘤累及肺、胆总管可能，予化疗后，黄疸降至正常，总体病情明显改善。结论卡波西肉瘤进展迅速，可累及多脏器，需及时病理诊断，黄疸可为其临床表现，治疗应以化疗为主。 |
| 英文摘要: |
| Objective To summarize the experience of diagnosis and treatment of AIDS?associated Kaposi’s sarcoma with jaundice as the first symptom.Methods The clinical data of a case of AIDS?associated Kaposi’s sarcoma with jaundice as the first symp? tom in Department of Infectious Diseases，The Second Hospital of Nanjing in 2017 were retrospective analyzed，and the relevant lit? erature were reviewed.Results The patient was admitted to hospital for 1 week with jaundice，with treatment of anti?infection，liver protection and enzyme reduction，and jaundice reduction，Jaundice is still rising，and he was complicated with high fever，hemopty? sis，respiratory failure，and endangering life.Biopsy of purple?blue nodules of skin suggests Kaposi’s sarcoma，after comprehensive analysis，the tumor was considered to involve the lung and common bile duct，after chemotherapy，jaundice was reduced to normal and the condition was obviously improved.Conclusion Kaposi’s sarcoma progresses rapidly，involving multiple organs，timely path? ological diagnosis is important.Jaundice may be its clinical manifestation，and chemotherapy should be the main treatment. |
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