Clinical characteristics and management of HIV patients suffering from gastrointestinal perforation

VernacularTitle:合并HIV感染的消化道穿孔患者的临床特点与治疗
Author: Yong ZHAO ¹ ; Guo WEI ; Yong HE ; Xin HUA
Author Information

1. 610061,成都市公共卫生临床医疗中心普通外科
Keywords: HIV; Gastrointestinal perforation
From: Chinese Journal of General Surgery 2018;33(2):138-140
CountryChina
Language:Chinese
Abstract: Objective To investigate the diagnosis,clinical features and treatment of HIV patients complicated with gastrointestinal perforation.Methods There were 17 patients with gastrointestinal perforation and HIV infection,and the clinical data were retrospectively analyzed.Results Abdominal X-ray examination was used to establish the diagnosis,with perforation site at the duodenal bulb in 5 cases,gastric pylorus in 3 cases,ileocecal and terminal ileum in 9 cases.7 cases were co-complicated with tuberculosis infection,1 case with Penicillium mameffei infection,15 were cured and 2 cases died.Conclusions Possible for compromised immunc function,gastrointestinal perforation in HIV patients often found in site less common in otherwise normal cases,and co-infection is common in HIV patients.