Einfeldt H
Abteilung für Physikalische Therapie, Allgemeinen Krankenhauses St. Georg, Hamburg.
Z Lymphol. 1992 Dec;16(1):10-3.
For reasons not yet known HIV infected patients in the final state of their aids disease often tend to develop Kaposi's sarcoma. These tumours result in secondary lymphatic edema which is found on both sides of the sarcoma up to the regional lymphatic nodes, transferred by the tumour cells. Depending on the state of the edema, a lymph drainage treatment is indicated palliatively; the patients can thus be relieved. A fundamental deterioration of the prognosis is not to be expected, the more as all patients are in the final state of this not yet curable disease. Differing from treatment of other lymphatic edema, it is of special importance to the therapist--apart from the difficult and specifically psychic burden--to pay attention to a protection from infection by gloves as a precaution for each single treatment.
由于尚不清楚的原因，处于艾滋病终末期的HIV感染患者往往会患上卡波西肉瘤。这些肿瘤会导致继发性淋巴水肿，在肉瘤两侧直至区域淋巴结都能发现，是由肿瘤细胞转移所致。根据水肿情况，可进行姑息性的淋巴引流治疗；这样患者就能得到缓解。由于所有患者都处于这种无法治愈疾病的终末期，预计预后不会出现根本性恶化。与其他淋巴水肿的治疗不同，对于治疗师来说，除了困难且特殊的心理负担外，每次治疗时注意戴手套预防感染尤为重要。
