Clinical characteristics of gastrointestinal perforation in 33 patients with HIV
LI Qintao
WANG Danpu
LU Yan
ZHANG Ke
JIANG Li
Abstract：Objective To analyze the etiology and surgical effect of gastrointestinal perforation in patients with HIV infection.Method A retrospective analysis was conducted on the clinical data of 33 patients with HIV infection undergoing surgery for gastrointestinal perforation in Beijing Ditan Hospital,Capital Medical University from January 2015 to December 2019.Analysis was conducted on the etiology of gastrointestinal perforation in patients and the effectiveness of surgical treatment,as well as the relationship with HIV status.Results Compared with patients with well-controlled HIV levels in the body,patients without effective HIV control had more poor CD4+ T lymphocyte count and CD4+/CD8+ ratio,more gastrointestinal perforation caused by opportunistic infections and related tumor,and longer postoperative hospital stay(P＜0.05).However,there was no significant difference in surgical outcomes(P＞0.05).Conclusions The causes of gastrointestinal perforation in patients with HIV infection are more diverse and the condition is more complex.The HIV status does not affect the effectiveness of surgical treatment,but the treatment effect on combined opportunistic infections and related tumors can affect the length of hospital stay and prognosis.
Keywords：HIV infectin statusHIVAIDSgastrointestinal perforationetiologysurgery
Publication Date：2023-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 517-520 )