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目的 探讨HIV感染者的急腹症处理方法和效果。方法 总结 1997年 3月～ 1999年 5月在东非某国收治的 8例抗HIV抗体阳性者的急腹症手术治疗经验。结果 8例均接受了急诊手术和抗病毒的药物治疗。共随访 6～ 32个月 ,7例至今恢复良好 ,1例腹膜炎行腹腔引流 ,术后复查CD4 淋巴细胞计数 <10 0 /mm3 ,3个月后死于艾滋病。结论 对HIV感染者的急腹症处理 ,不能歧视 ,不能拖延 ,手术治疗效果满意 ,同时预防HIV在术中、术后的传播和医务人员的自身防护非常重要
Objective To investigate the treatment methods and effects of acute abdomen in HIV-infected patients. Methods From March 1997 to May 1999, 8 cases of anti-HIV antibody-positive acute abdomen surgery were treated in a country in East Africa. Results All 8 patients underwent emergency surgery and antiviral drug treatment. All patients were followed up for 6 to 32 months. Seven patients recovered well so far. One patient had peritonitis underwent peritoneal drainage. CD4 lymphocyte count <10 0 / mm3 after operation and AIDS death after 3 months. Conclusions The treatment of acute abdomen of HIV-infected persons can not be discriminated against, can not be delayed, and the effect of surgical treatment is satisfactory. It is also very important to prevent the spread of HIV intra-operatively and postoperatively as well as the self-protection of medical personnel