妇产科HIV感染/AIDS患者的围手术期处理  

Perioperative management of HIV infection/AIDS in gynecological and obstetric patients

作　　者：李征[1] 

机构地区：[1]广州市第八人民医院妇产科,广东广州510060

出　　处：《南方医科大学学报》2011年第9期1629-1631,共3页Journal of Southern Medical University

摘　　要：目的探讨妇产科HIV感染/AIDS患者围手术期的处理方法。方法对57例妇产科HIV感染/AIDS手术患者,术前应用高效逆转录病毒疗法(HAART),根据CD4+T淋巴细胞水平确定手术方式,术中规范手术程序、精细操作减少手术损伤,术后常规应用抗生素预防机会性感染等,并将手术前后白细胞、血红蛋白和CD4+T淋巴细胞变化进行比较,对围术期处理方法及疗效进行总结分析。结果经过一系列围手术期处理,全部病例伤口一期愈合,无伤口感染和其他新发机会性感染,手术前后白细胞和CD4+T淋巴细胞相比较无明显差异(P>0.05)。结论适宜的围手术期处理可使妇产科HIV感染/AIDS患者的手术取得满意的疗效。Objective To investigate the optimal perioperative management of HIV infection/AIDS in surgical patients in the department of gynecology and obstetrics.Methods Fifty-seven surgical patients with HIV infection or AIDS were studies.Before the operations,the patients were treated with highly active anti-retroviral therapy（HAART）,and the surgical approach was determined according to the level of CD4＋ T lymphocytes.The operations were performed strictly following the standard procedures with careful operation to reduce surgical injuries.Routine antibiotics were administered to prevent postoperative infections.The white blood cell count,hemoglobin and CD4＋ T lymphocytes recorded pre-and postoperatively were analyzed for evaluation of the perioperative management and therapeutic effects.Results With these perioperative managements,the white blood cells and CD4＋ T lymphocytes showed no significant changes after the operation（P〉0.05） and no wound infections or opportunistic infections were found in these cases.Conclusions Appropriate perioperative management can ensure surgical success in patients with HIV infection or AIDS in the department of gynecology and obstetrics.

关 键 词：艾滋病 人类免疫缺陷病毒 妇产科 围手术期 CD4+T淋巴细胞 

分 类 号：R512.91[医药卫生—内科学] R714.2[医药卫生—临床医学]