目的 :分析艾滋病合并隐球菌性脑膜炎的临床特点 ,治疗方法及预后。方法 :作者在援非医疗队期间中非友谊医院于 1998年8月～ 2 0 0 0年 12月收治的 3 1例HIV合并隐球菌性脑膜炎进行回顾性研究。结果 :HIV合并隐球菌性脑膜炎的临床表现以头痛、高热最为常见 ,脑脊液检查 ,墨汁染色见新型隐球菌 2 6例 (83 9% ) ,隐球菌多糖荚膜抗原 (ELISA法 )阳性 2 9例 (93 5 % )。治疗采用两性霉素B与 5氟胞嘧啶 (5 FC)或与咪唑类药联合治疗。结论 :讨论了HIV合并隐球菌性脑膜炎的临床表现 ,预后不良 Objective: To analyze the clinical features, treatment and prognosis of AIDS-associated cryptococcal meningitis. Methods: The retrospective study was conducted on 31 cases of HIV-associated cryptococcal meningitis admitted by the China-Africa Friendship Hospital between August 1998 and December 2000 during a non-medical team visit. Results: The clinical manifestations of HIV combined cryptococcal meningitis were headache and hyperthermia. Cerebrospinal fluid examination and ink stain showed 26 cases (83.9%) of Cryptococcus neoformans and 29 cases of Cryptococcal capsular antigen (ELISA) Example (93 5%). Treatment with amphotericin B and 5 flucytosine (5 FC) or with imidazole combination therapy. Conclusion: The clinical manifestations of HIV-associated cryptococcal meningitis are discussed with poor prognosis