Management and prognosis of HIV infected patients with postoperative sepsis
Scientific Research and Essays(2011)
摘要
To investigate the management and prognosis of HIV infected patients with postoperative sepsis, the clinical data of 126 HIV-infected patients aged 20 to 74 years including 114 males and 12 females were retrospectively analyzed. Patients were divided into 3 groups according to the pre-operative level of CD4+ cells: Group A (n = 73), <200 cells/μl; Group B (n = 36): 200 cells/μl ≤ CD4 + cells < 350 cells/μl; Group C (n = 17): ≥350 cells/μl. The operation was carefully performed aiming to reduce the damage to tissues. Antibiotic prophylaxis, treatments with anti-tuberculous, antifugal and anti-retroviral drugs and timely treatment of complications were carried out. In Group A, B and C, postoperative sepsis occurred in 32, 8 and 3 patients, respectively, of whom 4, 1 and 0 died of multiple organ dysfunction syndrome (MODS), respectively. Analysis showed the proportion of patients with sepsis in Group A was significantly higher than that in Group B and Group C, but no significant difference was found between Group B and C. The HIV infected patients with CD4 + cells <200 cells/μl had significantly increased risk for postoperative sepsis. Appropriate peri-operative treatment for HIV-infected patients may achieve favorable outcome. © 2011 Academic Journals.
更多查看译文
关键词
Acquired immune deficiency syndrome,Complication,Operative-risk evaluation,Sepsis
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要