摘要
目的观察人类免疫缺陷病毒感染（HIV）和获得性免疫缺陷综合征（AIDS）患者眼科手术的安全性。方法回顾胜分析2013至2017年29例HIV／AIDS行眼部手术的临床资料。对手术效果以及CD4＋T淋巴细胞（ cluster of differentiation 4＋ T-lymphocyte, CD4＋ ）计数进行观察分析。结果29例HIV／AIDS中，27例均一期愈合，2例出现伤口延迟愈合。所有患者围手术期未出现严重的并发症和机会性感染，CD4＋T淋巴细胞计数无明显变化，医务人员无职业暴露。结论严格执行医疗操作规范，根据患者CD4＋T淋巴细胞计数和慢性健康状况评价系统决定手术时机。
Objective To observe the safety of eye surgeries for patients with human immunodeficiency virus （HIV） and acquired immunodeficiency syndrome （AIDS）. Methods The clinical data of 29 cases with HIV or AIDS from 2013 to 2017 were analyzed retrospectively. All cases received eye surgery. The efficacy and cell counting of CD4＋T-lymphocyte were observed and analyzed. Results After surgery, the eye wound healing was first intention in 27 cases, and incisions cure were postponed in 2 cases. No severe complication or opportunistic infection occurred during peroperative period. The cell counting of CD4＋ T-lymphocyte were not changed. No severe complication or occupational exposure occurred. Conclusion The medical practice standard should be enforced, operation time is based on the cell counting of CD4＋ T-lymphocyte and chronic health evaluation.
作者
朱翠萍
刘德成
Zhu Cuiping;Liu Decheng(Department of Ophthalmology, Sixth People＇ s Hospital of Zhengzhou, Zhengzhou 450015, China;Department of Ophthalmology, Seventh People＇ s Hospital of Zhengzhou, Zhengzhou 450016, Chin)
出处
《中华眼外伤职业眼病杂志》
2018年第6期459-461,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
