妇产科HIV感染AIDS患者的围手术期处理.pdf

2011;31(9) 南方医科大学学报（J South Med Univ ） ·1629 · ·临床研究· 妇产科HIV 感染/AIDS 患者的围手术期处理 李 征 广州市第八人民医院妇产科，广东广州510060 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（P0.05）。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。 + 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 中图分类号：R71 文献标志码：A 文章编号：1673-4254（2011）09-1629-03 Perioperative management of HIV infection/AIDS in gynecological and obstetric patients LI Zheng Department of Obstetrics and Gynecology, Eighth Peoples Hospital of Guangzhou, Guangzhou 510060, China Abstract: 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 periopera