Mand C, Giannadakis K, Schnabel M, Stiletto R
Klinik für Unfall-, Wiederherstellungs- und Handchirurgie, Universitätsklinikum Giessen und Marburg GmbH, Standort Marburg, Baldinger Strasse, Marburg, Germany.
Unfallchirurg. 2007 Nov;110(11):964-7. doi: 10.1007/s00113-007-1284-9.
In orthopaedic surgery and emergency medicine, patients of the age groups with a HIV risk represent the largest part of the entire population. As necessary steps have to be taken immediately at the scene of an accident and in the emergency room, contact with HIV-positive blood is often unavoidable, so that there is an increased risk of transmission for doctors and personnel. Due to the immunological state, the HIV patient is exposed to considerable post-operative complications such as wound infection, pneumonia and even sepsis. With the case of a 35-year-old HIV-positive patient who was multiply injured in a traffic accident, we want to present an interesting example of the problems that occur in the treatment of this patient group.
在骨科手术和急诊医学中,有感染艾滋病毒风险的年龄段患者占整个人口的最大比例。由于在事故现场和急诊室必须立即采取必要措施,与艾滋病毒呈阳性的血液接触往往不可避免,因此医生和工作人员面临的传播风险增加。由于免疫状态,艾滋病毒患者术后易出现严重并发症,如伤口感染、肺炎甚至败血症。通过一名35岁在交通事故中多处受伤的艾滋病毒呈阳性患者的病例,我们想展示一个在治疗该患者群体时出现的问题的有趣例子。