期刊文献+

HIV/AIDS合并泌尿外科疾病腔镜手术的安全性探讨 被引量:3

The safety of endoscopic surgery for HIV/AIDS patients combined with urologic diseases
原文传递
导出
摘要 目的探讨人类免疫缺陷病毒感染者/艾滋病患者(HIV/AIDS)合并泌尿外科疾病进行腔镜手术的安全性。方法自2015年5月至2018年4月我院对HIV/AIDS合并泌尿外科疾病患者92例施行各类腔镜手术,对其临床资料进行回顾性分析。结果共施行92例泌尿外科腔镜手术,其中输尿管镜下碎石取石术21例、经皮肾镜碎石取石术34例、经尿道手术31例、腹腔镜手术6例。术前及术后患者白细胞、血小板、C-反应蛋白、CD4淋巴细胞计数差异无统计学意义,5例患者术后出现发热,其中1例出现脓毒血性休克,所有患者经治疗后病情好转,围手术期无死亡病例。术中发生1例职业暴露,未发现HIV感染。结论 HIV/AIDS合并泌尿系外科疾病患者进行腔镜手术,充分做好围手术期准备,对于医患而言,总体是安全的。 Objective To evaluate the safety of endoscopic treatment of HIV/AIDS patients combined with urologic diseases. Methods Kinds of endoscopic surgery were performed on 92 patients with HIV/AIDS combined with urologic diseases in our hospital from May 2015 to April 2018. The clinical data were analyzed retrospectively. Results A total of 92 cases of urologic endoscopic surgery were performed, including 21 cases of ureteroscopic lithotripsy, 34 cases of percutaneous nephro lithotripsy, 31 cases of transurethral surgery and 6 cases of laparoscopic surgery. There were no differences between preoperative and postoperative with patients' white blood cells, platelets, C-reactive protein and CD4 lymphocyte count, Five patients got fever after surgery, One of them developed septic shock, all patients were recovery after treatment, no deaths were found during perioperative period. One case of occupational exposure occurred intraoperatively and no HIV infection was found. Conclusion Endoscopic surgery is generally safe for patients with AIDS combined with urologic diseases and doctors if they are fully prepared for perioperative period.
作者 周雄才 范立新 董超雄 朱郇荣 李成松 刘坤朋 Zhou Xiongcai;Fan Lixin;Dong Chaoxiong;Zhu Xunlong;Li Chengsong;Liu Kunpeng(Department of Urology,the Eighth People's Hospital,Guangzhou Medical University,Guangzhou 510060,China)
出处 《中华腔镜泌尿外科杂志(电子版)》 2018年第6期390-393,共4页 Chinese Journal of Endourology(Electronic Edition)
关键词 艾滋病 人类免疫缺陷病毒 腔镜 安全性 回顾性 AIDS HIV Endoscopy Security Retrospective
  • 相关文献

参考文献4

二级参考文献25

  • 1刘保池,刘立,杨昌明,李垒,司炎辉,曹烨,陈辉,刘新.艾滋病病毒感染者手术后脓毒症的救治[J].中华临床医师杂志(电子版),2011,5(9):2742-2744. 被引量:6
  • 2龙宏纲,邝伟明,朱郇荣.AIDS病人施行外科手术的安全性评价[J].中国艾滋病性病,2004,10(3):185-186. 被引量:26
  • 3王洪江,王忠裕.AIDS病人的手术时处理对策[J].医师进修杂志(外科版),2005,28(9):56-57. 被引量:13
  • 4Joint United Nations Program on HIV/AIDS. UNAIDS report on the global AIDS epidemic 2010[EB/OL]. Http:www.unaids.org/ globalreport/global_report.htm. 2012.
  • 5Centers for Disease Control and Prevention. HIV prevention strategic plan through 2010[EB/OL]. http:www.cdc.gov/hiv/ resources/reports/psp. 2012.
  • 6Moss JA. HIV/AIDS Review[J]. Rad Tech,2013,84(3):247-267.
  • 7Hajek M, Novak K, Pazdiora P. HIV/AIDS positive patients in surgery (Part 1): epidemiologic situation[J]. Rozhl Chir,2003,82(11):555-560.
  • 8Ferrero S, Bentivoglio G. Post-operative complications after caesarean section in H1V-infeeted women[J]. Arch Gynecol Obstet,2003,268(4):268-273.
  • 9Jeremiah L. Deneve, D, Jessica G, et al. CD4 count is predictive of outcome in HIV-positive patients undergoing abdominal operations [J]. Am J Surg,2010:200(2):694-700.
  • 10Massera F, Rocco G, Rossi G, et al. Pulmonary resection for lung cancer in HIV-positive patients with low (< 200 lymphocytes/ mm^2) CD4+ count[J]. Lun Can,2000,29(2):147-149.

共引文献397

同被引文献35

引证文献3

二级引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部