中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (07): 606-607.

• 论著 • 上一篇    下一篇

HIV感染者术后感染并发症风险因素分析

刘保池1，周华锋2，李    垒1，司炎辉1，曹    烨1，陈    辉1，刘    新1   

  1. 1上海市公共卫生临床中心外科，上海201508；2郑州大学第一附属医院急诊科，河南郑州450052
  • 出版日期:2011-07-01 发布日期:2011-06-17

  • Online:2011-07-01 Published:2011-06-17

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摘要：

目的    探讨HIV病人术后发生感染并发症的风险因素及治疗措施。方法    对2009年1月至2010年6月上海市公共卫生临床中心外科收治的97例HIV感染手术病人的临床资料做回顾性分析。结果    手术前后HIV病人血常规、肝肾功能、CD4、CD8、CD4/CD8差异无统计学意义（P<0.05）。CD4<200个/μL病人（A组，51例）33例发生感染性并发症，2例死于脓毒症；CD4 200～350个/μL者（B组，31例）12例发生感染性并发症；CD4＞350
个/μL者（C组，15例）5例发生感染性并发症。A组的感染并发症发生率显著高于B组和C组（P<0.05）。结论    CD4<200个/μL的HIV病人手术后感染并发症发生风险明显增高，应加强围手术期处理。

关键词: 艾滋病, 手术风险评估, 并发症

Abstract:

The risk factors analysis of postoperative infectious complications for the patients with HIV/AIDS        LIU Bao-chi*, ZHOU Hua-feng,LI Lei,et al.*Department of Surgery,Shanghai Public Health Clinical Center,Shanghai201508,China
Corresponding author: LIU Bao-chi, E-mail:liubaochi2002@yahoo.com.cn
Abstract    Objective    To investigate the risk factors of postoperative infectious complications and treatment measure for the patients with HIV/AIDS. Methods    The clinical data of 97 HIV-infected patients admitted from Jan 2009 to Jun 2010 in Shanghai Public Health Clinical Center were analyzed retrospectively. Results    All patients had peri-operative detection of immune function. The patients were divided into 3 groups according to pre-operative CD4 count: There were 33 cases of  infectious complications and two cases died of sepsis in 51 cases of group A (CD4 counts<200 cell /μL ); There were 12 cases of infectious complications and there was no death in 31 cases of group B(200 cell/μL ≤CD4<350 cell /μL); There were 5 cases of infectious complications in 15 cases of  group C (CD4≥350 cell /μL). The infectious complications in group A was significantly higher than those in group B and group C (P<0.05).  Conclusion    The  incidence of postoperative infectious complications is significantly higher in the patients of HIV/AIDS with CD4 counts<200 cell /μL. Intensive  peri-operative treatment is very important.

Key words: acquired immune deficiency syndrome, operative-risk evaluation, complication