目的总结对艾滋病病人施行手术职业暴露的个人防护要点。方法收集了2005年9月至2009年10月秭归县对6例艾滋病病人实施的手术25名医护人员预防职业暴露的资料,对艾滋病人手术术中医护人员个人防护情况进行分析。结果本组艾滋病职业暴露发生率为12%,全程规范监测25人HIV抗体均为阴性。结论普遍预防是避免艾滋病职业暴露的法宝,个人防护是降低医源性传播风险的前提,精细操作是防患于未然的关键环节。 Objective To summarize the points of personal protection for the occupational exposure to AIDS patients. Methods From September 2005 to October 2009, Zigui County collected data on prevention of occupational exposure of 25 medical staff in operation in 6 AIDS patients and analyzed the personal protection status of medical staff during AIDS operation. Results The incidence of occupational exposure to HIV in this group was 12%, and all 25 HIV-infected patients were normatively monitored. Conclusions Universal prevention is a magic weapon to avoid occupational exposure to HIV / AIDS. Personal protection is a prerequisite to reduce the risk of iatrogenic transmission. Precise operation is a key step in prevention.