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Objective To explore the method and efficacy of treating acute abdominal disease in HIV carriers.Methods To summarize experience of performing operations on eight HIV carriers suffering acute abdominal disease in an east African country from March 1997 to May 1999.Results The eight HIV carriers received treatment by performing emergency operation and taking anti-virus medicine. Among the eight HIV carriers followed up for 6-32 months post-operatively, seven carriers have recovered well up to present, while one carrier died of AIDS after completing the operation for three months. The died HIV carrier with peritonitis conducted a abdominal drainage in the operation, after which, the carrier's CD 4 lymphocyte number was checked below 100/mm 3.Conclusions We can achieve satisfied therapeutic effects under the condition that we do not adapt a discriminate and dilatory attitude towards curing HIV carriers suffering acute abdominal disease. Furthermore, it is very important to prevent the HIV spreading during and after the operation.So medical staffs in hospital should also strengthen self-prevention from HIV.
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Objective To study the value of CT diagnosis of atraumatic acute abdominal disease and how to select CT scan rationally.Methods The CT findings of 319 cases of atraumatic acute abdominal disease were reviewed restrospectively.Results Of 319 cases,226 cases of non-traumatic acute abdomen had positive findings on CT,the positive rate was 70.84%.Of them,the diseases included:urinary tract system in 63 cases,bile system in 62 cases,pancreas in 41 cases,gastro-intestinal system in 37 cases and others in 23 cases.The positive rate of CT findings was higher with aging in non-traumatic acute abdomen.Conclusion CT is of diagnostic value in atraumatic acute abdominal disease.