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目的探讨HIV/AIDS患者外科合并症的围手术期治疗措施。方法对48例HIV感染者(其中男45例,女3例,年龄20～74岁)术前检测免疫功能,规范手术操作程序,减少组织损伤,常规应用抗生素预防感染,及时处理并发症,对血友病患者术中持续输注凝血因子Ⅷ。结果一类切口手术20例,伤口全部一期愈合;二类切口手术13例,仅3例伤口感染;三类切口手术15例,其中3例伤口愈合时间超过30d。术后死于重度脓毒症1例,其他患者康复或好转出院。结论对HIV感染者采用适当围手术期治疗措施可以取得较好的疗效。
Objective To investigate the perioperative treatment of surgical complications in HIV / AIDS patients. Methods 48 cases of HIV infection (including 45 males and 3 females, aged 20 to 74 years) preoperative immune function, standardized surgical procedures, reduce tissue damage, routine use of antibiotics to prevent infection, timely treatment of complications, the Hemophilia patients with intraoperative infusion of coagulation factor Ⅷ. Results A total of 20 cases of incision surgery were performed in all cases. All the wounds were healed in one stage. Thirteen cases of type II incision were infected with only three wounds. Three types of incision surgery were performed in 15 cases, of which 3 cases were wound healing for more than 30 days. One patient died of severe sepsis after operation, and the rest were recovered or discharged. Conclusion The appropriate perioperative treatment for HIV-infected patients can achieve better results.