HIV感染者围手术期治疗

Peri-operative treatment for patients with HIV infection

目的探讨艾滋病病毒（HIV）感染者外科合并症的围手术治疗措施。方法对HIV感染者术前检测免疫功能,规范手术操作程序,精细操作,减少手术损伤。对血友病病人术中持续输注VIII因子,常规应用抗生素预防感染,及时处理并发症。结果共治疗39例HIV感染者,其中男37例,女2例,年龄2774岁。一类切口14例,伤口全部一期愈合;二类切口10例,仅2例伤口感染;三类切口15例,其中3例伤口愈合时间超过30天。术后死于重度脓毒症1例,其他病人康复或好转出院。结论对HIV感染者采用适当围手术期治疗,可以取得较好的疗效。

Objective To investigate peri-operative treatment for HIV infected cases with surgical complications.Methods Thirty nine HIV-infected cases（37 males,2 females,aged 27-74 years） were enrolled.All the cases were detected for immune function prior to operation,standardized and careful surgical procedures were provided to reduce possible operational damage,coagulants（VIII factors） were infused continuously for haemophilia patients during the operation,antibiotics were conventionally applied to prevent infection and complications were promptly treated.Results Complete healing of surgical cuts was seen in 14 cases who underwent grade 1 incision;of the 10 cases who underwent grade 2 incision only 2 got infected in their surgical cuts;of the 15 cases who underwent grade 3 incision,3 had prolonged healing over 30 days.Except one case who died of severe pyemic,all were discharged with complete recovery or symptomatic improvement.Conclusions Appropriate peri-operative treatment may achieve better efficacy for patients with HIV infection.