Laursen S B, Nielsen T L, Jacobsen E
H:S Rigshospitalet,epidemiafdeling M.
Ugeskr Laeger. 1999 Mar 22;161(12):1744-6.
A review of anaesthesia for patients with HIV-infection is given. The use of new antiretroviral drug combinations to treat HIV-infection may result in longer survival, and therefore more cases of HIV-positive patients who undergo surgery and require anaesthetic services. Clinical manifestations of the HIV infection in humans can be seen in almost every organ. The anaesthetist must have an understanding of the many manifestations of the syndrome. Physical examination and preoperative preparation is essential. Considerations for the anaesthetist include: the effects of medications and possible drug interactions, organ dysfunction, altered metabolism and choice of anaesthetic technique for the HIV-positive patient. Anaesthetists and other health care professionals must know about the manifestations of HIV-infection in order to provide competent and compassionate care.
本文对HIV感染患者的麻醉进行了综述。使用新型抗逆转录病毒药物联合治疗HIV感染可能会延长生存期,因此接受手术且需要麻醉服务的HIV阳性患者会增多。HIV感染在人体的临床表现几乎可见于每个器官。麻醉医生必须了解该综合征的多种表现。体格检查和术前准备至关重要。麻醉医生需要考虑的因素包括:药物的作用及可能的药物相互作用、器官功能障碍、代谢改变以及HIV阳性患者的麻醉技术选择。麻醉医生和其他医护人员必须了解HIV感染的表现,以便提供充分且富有同情心的护理。