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感染人类免疫缺陷病毒患者的剖腹手术:指征与结果

Laparotomy in patients infected with human immunodeficiency virus: indications and outcome.

作者信息

Lowy A M, Barie P S

机构信息

Department of Surgery, Cornell University Medical College, New York.

出版信息

Br J Surg. 1994 Jul;81(7):942-5. doi: 10.1002/bjs.1800810706.

DOI:10.1002/bjs.1800810706
PMID:7922084
Abstract

Four distinct disease processes account for the majority of surgically correctable intra-abdominal pathologies associated with human immunodeficiency virus (HIV) infection: cytomegalovirus infection, Kaposi's sarcoma, non-Hodgkin's lymphoma and mycobacterial infection. Affected patients may also develop acute cholecystitis and appendicitis with significant frequency. Thorough investigation, when possible, will obviate the need for laparotomy in most HIV-infected patients with abdominal symptoms and signs. In those who require surgical intervention, the outcome varies greatly according to the nature of the diagnosis.

摘要

四种不同的疾病过程构成了与人类免疫缺陷病毒(HIV)感染相关的大多数可通过手术纠正的腹腔内病变:巨细胞病毒感染、卡波西肉瘤、非霍奇金淋巴瘤和分枝杆菌感染。受影响的患者也可能频繁发生急性胆囊炎和阑尾炎。在可能的情况下进行全面检查,将避免大多数有腹部症状和体征的HIV感染患者进行剖腹手术。对于那些需要手术干预的患者,根据诊断的性质,结果差异很大。

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