总结获得性免疫缺陷综合征（AIDS）并发卡氏肺囊虫肺炎患者的病情观察与护理经验。

回顾性分析57例AIDS并发卡氏肺囊虫肺炎患者的临床表现和辅助检查资料，总结该类患者的病情观察和护理的经验。

57例AIDS并发卡氏肺囊虫肺炎患者中病情好转出院34例（占59.66%），病情无好转或继续恶化患者9例（占15.79%），患者及家属签字自动出院3例（占5.26%），死亡病例11例（占19.30%）。其中11例AIDS并发卡氏肺囊虫肺炎患者死亡原因是呼吸衰竭和多脏器功能衰竭；最主要传播途径为性接触感染；感染位于前三位的分别是细菌性肺炎、口腔念珠菌病和巨细胞病毒肺炎。胸部影像学临床表现全部为云雾样、磨玻璃状影改变，同时合并伴有条索状、网格影和伴斑片状影。

在临床护理工作中要密切观察患者病情的变化，对患者实施隔离保护，及早发现和正确的临床治疗与护理措施，控制卡氏肺囊虫肺炎是AIDS患者的病情、提高患者的生存质量具有重要的临床意义。

To summarize the issuing condition observation and nursing care experience of patients with acquired immunodeficiency syndrome (AIDS) and Pneumocystis carinii pneumonia.

The clinical manifestations and laboratory datas of 57 cases of AIDS complicated with Pneumocystis carinii pneumonia were analyzed, retrospectively; the observation and nursing experience were summarized.

Among the 57 AIDS cases complicated with Pneumocystis carinii pneumonia, 34 (59.66%) cases were discharged, 9 (15.79%) patients with no improvement or worsening disease, 3 cases (5.26%) signed automatic discharge by themselves and families to 11 (19.30%) cases died. Of whom, 11 AIDS cases with Pneumocystis carinii pneumonia died due to respiratory failure and multiple organ failure; the main route of transmission was sexual contact infection; the top three infectious diseases were bacterial pneumonia, oral candidiasis and cytomegalovirus pneumonia. The clinical manifestations of chest imaging showed cloudy, ground glass opacity change, combined with a funicular, grid shadow, and patchy shadow.

In clinical nursing work to closely observe the change of the patients, isolated protection, early detection and proper clinical treatment and nursing measures, are important to control the cartesian pneumocystis pneumonia is the condition of AIDS patients, and improve the quality of survival in patients.