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[艾滋病患者的慢性血液透析]

[Chronic hemodialysis in a patient with AIDS].

作者信息

Karagianni A, Kampouri V, Korda E, Sideropoulos D, Gkiritzotos T

出版信息

Noseleutike. 1990 Oct-Dec;29(134):261-8.

PMID:2090135
Abstract

In this paper, we report our experience concerning chronic dialysis treatment in a patient with AIDS. We describe also all necessary precautions we utilized to prevent virus transmission from the patient to the staff. The latter was achieved with the use of standard gown, mask and gloves, as well as the use of plastic face shield. In addition, all disposable materials used, such as needles etc., were placed in special containers by the end of each hemodialysis session. Fistula puncture was done with great care and both needles were inserted to the same direction (towards the shoulder). Dialysis machine was sterilized by and was not dedicated only to this patient. No seroconversion was observed, up to now, among dialysis staff. Dialysis of AIDS patients should be performed with extremely special precautions in order to avoid unnecessary hazards to the staff.

摘要

在本文中,我们报告了我们对一名艾滋病患者进行慢性透析治疗的经验。我们还描述了为防止病毒从患者传播给工作人员而采取的所有必要预防措施。这通过使用标准的隔离衣、口罩和手套以及使用塑料面罩得以实现。此外,每次血液透析结束时,所有使用过的一次性材料,如针头等等,都被放入特殊容器中。瘘管穿刺操作非常小心,两根针都朝同一方向(朝着肩部)插入。透析机进行了消毒,且并非仅供该患者专用。到目前为止,透析工作人员中未观察到血清转化。对艾滋病患者进行透析应采取极其特殊的预防措施,以避免给工作人员带来不必要的风险。

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