Venkat Arvind, Piontkowsky David M, Cooney Robert R, Srivastava Adarsh K, Suares Gregory A, Heidelberger Cory P
Department of Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA.
Ann Emerg Med. 2008 Sep;52(3):274-85. doi: 10.1016/j.annemergmed.2008.01.324. Epub 2008 Mar 21.
More than 1 million individuals in the United States are HIV positive, with greater than 40,000 new patients being diagnosed per year. With the advent of highly active antiretroviral therapy (HAART), HIV-infected patients in the United States are living longer. HIV-infected patients receiving HAART now more commonly have noninfectious and nonopportunistic complications of their disease. This review article will discuss the assessment and treatment of HIV-positive patients in the era of HAART, with an emphasis on the noninfectious and changing infectious complications that require emergency care.
美国有超过100万人感染了艾滋病毒,每年有超过4万名新患者被确诊。随着高效抗逆转录病毒疗法(HAART)的出现,美国感染艾滋病毒的患者寿命延长。接受HAART治疗的艾滋病毒感染患者现在更常出现其疾病的非感染性和非机会性并发症。这篇综述文章将讨论HAART时代艾滋病毒阳性患者的评估和治疗,重点关注需要紧急护理的非感染性和不断变化的感染性并发症。