Kuzin M I
Khirurgiia (Mosk). 1991 Oct(10):6-10.
AIDS incidence is sharply growing in all countries. Doctors specialists in all fields of medicine may come in contact in the process of treatment with HIV carriers or patients suffering from AIDS, when the clinical picture is vividly manifested. The most frequently encountered HIV-dependent complex of symptoms includes persisting fever, lymphadenopathy, weight loss, diarrhoea. Blood test for HIV antibodies confirms the diagnosis. Treatment of surgical diseases in HIV-infected patients is justified in the latent period of the syndrome. In a marked clinical picture of AIDS and the presence of an opportunistic infection the patient survives no longer than 18 months. It is advisable in such cases, in the interest of the patient and the surgeon, to refrain from undertaking a planned operation because its mortality is very high. Only emergency interventions are indicated. During contact with a HIV-infected patient the medical staff must follow strictly the rules of hospital hygiene and antisepsis . The work must be carried out in gloves, protective glasses, and masks, and injure of the hands with sharp instruments must be avoided. The personnel must be trained and educated in working with HIV-infected patients.
艾滋病发病率在所有国家都在急剧上升。在治疗过程中，当临床表现明显时，各个医学领域的专科医生都可能接触到艾滋病毒携带者或艾滋病患者。最常见的与艾滋病毒相关的症状组合包括持续发热、淋巴结病、体重减轻、腹泻。艾滋病毒抗体血液检测可确诊。对艾滋病毒感染患者的外科疾病治疗在综合征的潜伏期是合理的。在艾滋病明显的临床表现且存在机会性感染的情况下，患者存活时间不超过18个月。在这种情况下，为了患者和外科医生的利益，明智的做法是避免进行计划性手术，因为其死亡率非常高。仅需进行紧急干预。在与艾滋病毒感染患者接触期间，医务人员必须严格遵守医院卫生和消毒规则。工作必须戴手套、护目镜和口罩，必须避免被锐器刺伤手部。工作人员必须接受与艾滋病毒感染患者工作相关的培训和教育。
