Mohri N, Akamo Y, Takeyama H, Mizokami M, Yuasa H, Mizuno I, Shinagawa N, Manabe T
First Department of Surgery, Nagoya City University School of Medicine, Japan.
Surg Today. 1995;25(1):62-4. doi: 10.1007/BF00309388.
We report herein the case of a 40-year-old man with AIDS who was admitted to hospital with severe abdominal pain, fever, and chills. He underwent an emergency laparotomy which revealed a perforated appendix with suppurative peritonitis. An appendectomy with peritoneal drainage was carried out, but the postoperative course was complicated by fever without leukocytosis; however, he gradually improved following treatment with intravenous antibiotics, granulocyte colony-stimulating factor (G-CSF) and immunoglobulins, and made a complete recovery. His postoperative course demonstrates the effectiveness of this treatment regimen for patients with AIDS complicated by infection without an increase in the white blood cell count (WBC).
我们在此报告一例40岁艾滋病男性患者，因严重腹痛、发热和寒战入院。他接受了急诊剖腹手术，术中发现阑尾穿孔伴化脓性腹膜炎。实施了阑尾切除术并进行了腹腔引流，但术后病程出现发热且白细胞未增多；然而，经静脉使用抗生素、粒细胞集落刺激因子（G-CSF）和免疫球蛋白治疗后，他逐渐好转并完全康复。他的术后病程证明了该治疗方案对艾滋病合并感染且白细胞计数（WBC）未升高患者的有效性。
