人类免疫缺陷病毒感染者的急腹症手术

目的：探讨HIV感染者的急腹症处理方法和效果。方法：总结1997年3月－1999年5月在东非某国收治的8例抗HIV抗体阳性者的急腹症手术治疗经验。结果：8例均接受了急诊手术和抗病毒的药物治疗。共随访6－32个月，7例至今恢复良好，1例腹膜炎行腹腔引流，术后复查CD4淋巴细胞计数＜100／mm^3，3 个月后死于艾滋病。结论：对HIV感染者的急腹症处理，不能歧视，不能拖延，手术治疗效果满意，同时预防HIV在术中、术后的传播和医务人员的自身防护非常重要。

Operation of Acute Abdominal Disease in HIV Carriers

Objective To explore the method and efficacy of treating acute abdominal disease in HIV carriers.Methods To summarize experience of performing operations on eight HIV carriers suffering acute abdominal disease in an east African country from March 1997 to May 1999.Results The eight HIV carriers received treatment by performing emergency operation and taking anti-virus medicine. Among the eight HIV carriers followed up for 6-32 months post-operatively, seven carriers have recovered well up to present, while one carrier died of AIDS after completing the operation for three months. The died HIV carrier with peritonitis conducted a abdominal drainage in the operation, after which, the carrier's CD 4 lymphocyte number was checked below 100/mm 3.Conclusions We can achieve satisfied therapeutic effects under the condition that we do not adapt a discriminate and dilatory attitude towards curing HIV carriers suffering acute abdominal disease. Furthermore, it is very important to prevent the HIV spreading during and after the operation.So medical staffs in hospital should also strengthen self-prevention from HIV.