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目的 :探讨抗 -HIV阳性患者行扁桃体手术的可行性。方法 :应用放射免疫沉淀试验法检出 36例抗 -HIV阳性慢性扁桃体炎患者并行扁桃体切除术。 6例在全麻下行扁桃体切除术。 4例 8岁患儿表面麻醉后行挤切术 ,其余 2 6例均在局麻下坐位手术。另取 30例抗体阴性患者作对照组。术后分别观察并发症的发生率及治疗对策。结果 :36例患者均顺利渡过手术。 1例因局部伤口感染术后 6d发生扁桃体术后继发性出血 ,1例继发肺部感染 ,并发症发生率为 5 6 %。结论 :扁桃体切除术亦适用于抗 -HIV阳性患者。术后严密观察、及时发现和处理并发症至关重要
Objective: To investigate the feasibility of tonsillectomy in anti-HIV positive patients. Methods: Thirty-six patients with anti-HIV-positive chronic tonsillitis were examined by radioimmunoprecipitation. Six patients underwent tonsillectomy under general anesthesia. 4 cases of 8-year-old children underwent surface squeeze surgery after the surface anesthesia, the remaining 26 cases were sitting under local anesthesia. Another 30 cases of antibody negative patients for the control group. Postoperative complications were observed incidence and treatment strategies. Results: Thirty-six patients were successfully surgically treated. One case of postoperative tonsil bleeding secondary to postoperative wound infection occurred in 6 patients and one case of secondary pulmonary infection. The complication rate was 56%. Conclusion: Tonsillectomy is also suitable for anti-HIV positive patients. Close observation after surgery, timely detection and treatment of complications is essential