Shanghai Public Health Clinical Center Affiliated to Fudan University, China
Title: Classify and risk analysis of surgical patients with HIV infection
Baochi Liu received his Ph.D. from Zhengzhou University in 2007. He received his B.S.in 1983. He has many Peer-reviewed Publications in reputed journals. His research interest includes general surgery, surgery infection and trauma. He is currently working as a Director and Professor in Department of Surgery, Shanghai Publical Health Clinical Center Affiliated to Fudan University, Shanghai, China.
Object: To explore the classify and risk analysis of surgical patients with HIV-infection. Methods: Retrospective analysis the clinical data of 803 HIV-infected patients who have been operated at Shanghai Public Health Clinical Center and at Henan Infectious Hospital from January 2011 to February 2014.The patients were divided into general surgery, urological surgery, orthopaedics surgery and other special surgical groups according to the classify of operation. The patients CD4, CD8, CD4/CD8, WBC, Plate, Hemoglobin were compared. Results: There were 658 cases of general surgery (81.94%),71 cases of orthopaedics surgery(8.48%), 42 cases of urological surgery(5.32%), 32 cases of other special surgical operation. There were 217 cases with postoperative sepsis (morbidity 27.27%). 16 cases died within 30 day after operation (mortality 2%) The patent’s CD4, CD8, CD4/CD8, WBC, Plate, Hemoglobin was significantly lower in sepsis group compare with in no sepsis group. Conclusion: The most common operation for the patient with HIV infection is general surgery. Follows orthopedics surgery, urological surgery and other special surgery. The lower CD4, CD8, CD4/CD8, WBC, Plate and Hemoglobin are risk facts of postoperative sepsis.
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