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[艾滋病中的外科问题]

[Surgical problems in AIDS].

作者信息

Braun J, Schumpelick V

机构信息

Chirurgische Klinik, Medizinischen Fakultät der Rheinisch-Westfälischen Technischen Hochschule Aachen.

出版信息

Zentralbl Chir. 1990;115(2):65-76.

PMID:2189278
Abstract

A mortality of 41 percent has so far been recorded from 2.779 cases on the AIDS register. Surgical problems were found to arise only in the terminal stage, when gastro-intestinal, anorectal, pulmonary, neurological, and haematological manifestations have to be expected. Surgical intervention is indicated in situations of massive bleeding, perforations, and mechanical ileus. Opportunistic infections have proved to give rise to the development of gall-bladder empyema and CMV-induced ulcerations. The risk of infection run by medical personnel as well as prophylaxis against AIDS infection of people in contact with HIV infected individuals are described in great detail.

摘要

艾滋病登记册上的2779例病例中,目前记录的死亡率为41%。手术问题仅在晚期出现,此时可预期会出现胃肠道、肛门直肠、肺部、神经和血液学表现。在大出血、穿孔和机械性肠梗阻的情况下需要进行手术干预。事实证明,机会性感染会导致胆囊积脓和巨细胞病毒引起的溃疡。文中详细描述了医务人员面临的感染风险以及对与艾滋病毒感染者接触的人群预防艾滋病感染的措施。

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