HIV感染者术后感染并发症风险因素分析

Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (07) : 606-607.

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PDF(360 KB)
Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (07) : 606-607.
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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

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