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991~1994年Zambia大学教学医院骨科对感染HIV与非感染HIV的手术病人进行了临床研究。以便向病人及术者提供较确切的信息,哪些手术对于感染HIV病人有危险,引起他们的重视,也希望获得感染HIV病人的哪些临床指征可能增加术后合并症的发生率及术者与感染HIV病人之间交叉感染的问题。本组病例均为成年病人(15~55岁),经本人同意后进行HIV血液检查,进行骨科手术的病人。结果:共有368例病人进行了HIV血液检查(包括HIVⅠ和HIVⅡ),其中147(42%)例病人HIV阳性,74例病人没有任何临床症状。感染HIV病人与非感染HIV病人比较,血红蛋白(111g/l,131g/l),白细胞(6.1×109/l,8.5×109/l),淋巴细胞(2.3×109/l,2.9×109/l)。感染组均低于非感染组。血沉平均水平感染组则高于非感染组(67mm/1h,44mm/1h)。术后合并症(伤口感染、胸部感染、体温”和贫血),感染组为64%,非感染组为30%。220例清洁手术中有36例发生伤口感染,其中60例感染HIV病人有20例发生了感染,而160例非感染HIV病人仅有16例发生感染。深部感染HIV病人为10?
991 ~ 1994 orthopedic teaching hospital of Zambia University of patients infected with HIV and non-infected patients underwent a clinical study. In order to provide the patient and the surgeon with more precise information about which operations are at risk for HIV infection and attract their attention and hope which clinical indications of HIV infection may increase the incidence of postoperative complications and Cross-infection between HIV infected patients. This group of patients are adult patients (15 to 55 years of age), with my consent after the HIV blood test for patients with orthopedic surgery. Results: A total of 368 patients underwent HIV blood tests (including HIV I and HIV II), of which 147 (42%) were HIV positive and 74 patients did not have any clinical signs. Hemoglobin (111g / l, 131g / l), leukocytes (6.1x109 / l, 8.5x109 / l) and lymphocytes (2.3x109 / l , 2.9 × 109 / l). Infected group were lower than non-infected group. The mean level of ESR in infected group was higher than that in non-infected group (67mm / 1h, 44mm / 1h). Postoperative complications (wound infection, chest infection, body temperature and anemia) were 64% in the infected group and 30% in the noninfected group.26 wound infections occurred in 220 of 220 clean surgeries, of which 60 were infected with HIV Twenty patients had an infection, while only 16 of the 160 non-infected HIV patients were infected.