临床骨科杂志Issue(4)：418-421,4.DOI:10.3969/j.issn.1008-0287.2015.04.011
急性颈脊髓损伤发热原因识别及处理
Determination and treatment for fever origin in acute cervical spinal cord injury
赖必华 1吴建斌 1高招文 1连伟飞1
作者信息
- 1. 福建医科大学附属南平市第一医院骨二科，福建 南平353001
- 折叠
摘要
Abstract
Objective To explore the cause of fever in acute cervical spinal cord injury ( ACSCI) patients and clini-cal treatment. Methods 38 cases of clinical data of acute cervical spinal cord injury patients with fever were re-viewed. The cause of fever,duration of fever was analyzed and recorded,the time for diagnosis,the treatment and clini-cal outcomes of fever was required. Results The causes of fever in ACSCI included 16 cases of pneumonia,7 cases of autonomic dysfunction,5 cases of urinary tract infections,3 cases of pleural effusionin,2 cases incision infection,e-sophageal fistulathe, sinusitis, pressure ulcers with infection, upper gastrointestinal perforation and deep vein throm-bosis in 1 case. The longest duration of fever and time required for diagnosis were fever resulted from sinusitis with re-spectively 11 days and 9 days. The shortest were fever caused from decubitus with infection with respectively 2 days and 1 day. There were 5 patients died among whom 3 patients with pneumonia,1 with upper gastrointestinal perfora-tionand and 1 with autonomic dysfunction. Others patients temperature was back to normal after treatment. Conclu-sions The cause of fever in ACSCI is complicated,including pneumonia,autonomic dysfunction and urinary tract in-fections. The rare cause of fever can not be neglected and it′s necessary to identify the fever overshadowed by fatal dis-eases. Treatment for the cause should be taken after diagnosis.关键词
发热/急性颈脊髓损伤/肺部感染/尿路感染/植物神经功能紊乱Key words
fever/acute cervical spinal cord injury/pulmonary infection/urinary tract infections/vegetative nerve functional disturbance分类
医药卫生引用本文复制引用
赖必华,吴建斌,高招文,连伟飞..急性颈脊髓损伤发热原因识别及处理[J].临床骨科杂志,2015,(4):418-421,4.
