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  • 陈静娟,陈春球.综合性医院HIV阳性患者就诊特点分析[J].同济大学学报(医学版),2015,36(6):120-122.    [点击复制]
  • CHEN Jing-juan,CHEN Chun-qiu.Clinical features of HIV positive patients in comprehensive hospital[J].同济大学学报(医学版),2015,36(6):120-122.   [点击复制]
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综合性医院HIV阳性患者就诊特点分析
陈静娟,陈春球
0
(同济大学附属第十人民医院普外科,上海 200072)
摘要:
目的 通过对上海单一医疗中心筛查发现的HIV阳性病例进行分析,研究HIV阳性发生率、分布情况及临床特点。方法 回顾性分析我院2007年1月到2011年12月期间发现的门诊和住院HIV阳性病例。我院检测系统对新发现HIV阳性病例进行登记,以中国卫计委统一诊断标准进行检测。病例详细资料通过病案登记室获得。结果 2007年到2011年期间,我院共新登记发现HIV阳性64例(随年份依次分别是2,2,7,25,28例)。其中住院30例,门诊34例。病房由2例增加到14例,门诊由0例增加到14例。所有病例有明显性别差异(男性84.38%,女性15.62%);男性平均年龄40.5岁,女性42.1岁。12例(18.75%)进行过有创治疗和检查,均为住院患者。结论 医院各科室均应该对患者进行HIV检测,这有利于监测HIV感染率。医院要加强医护人员的防范意识,并提供必要的防护措施,尽量减少发生医院内感染。
关键词:  HIV/AIDS  发生率  临床分析
DOI:10.16118/j.1008-0392.2015.06.025
投稿时间:2015-04-07
基金项目:
Clinical features of HIV positive patients in comprehensive hospital
CHEN Jing-juan,CHEN Chun-qiu
(Dept. of General Surgery, Tenth People's Hospital, Tongji University School of Medicine, Shanghai 200072, China)
Abstract:
Objective To review the clinical features of HIV positive patients in a Shanghai medical center. Methods The medical records of out-patient and in-patient with HIV/AIDS in Shanghai Tenth People's Hospital from January 2007 to December 2011 were collected and analyzed. ResultsDuring the study period 64 cased were diagnosed as HIV/AIDS, including 30 in-patients and 34 out-patients; there were 2 in 2007, 2 in 2008, 7 in 2009, 25 in 2010 and 28 in 2011, respectively; the number of newly diagnosed cases increased from 2 to 14 in in-patients and from 0 to 14 in out-patients. Among 64 patients, 54 were males(84.4%) and 10 were females(15.6%); and the median age at diagnosis was 40.5 y for males and 42.1 y for females. Twelve patients(18.8%) underwent invasive treatment or examination, all of whom were in-patients. Conclusion The results indicate that all departments in comprehensive hospitals should initiate HIV test program and incorporate it into surveillance systems, and should increase the awareness of precaution and to provide necessary devices to reduce the risk of occupational infection.
Key words:  HIV/AIDS  incidence  clinical analysis

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