摘要
目的研究体温升高对脑出血患者机体系统及近期预后的影响。方法338例脑出血患者分为体温升高组(T≥37.5℃,n=127)和体温正常组(T<37.5℃,n=211),对比分析两组脏器系统衰竭(OSF)、脑疝发生率及病死率。结果①体温升高组94%有确切感染源;②体温升高组OSF、脑疝发生率及病死率显著高于体温正常组(P<0.01),幕下出血脑疝发生率显著高于幕上出血(P<0.01);③发病7天内早期发热者OSF、脑疝发生率及病死率显著高于发病7天后开始发热者(P<0.01)。结论①感染是脑出血继发体温升高的主要原因;②脑出血继发体温升高多提示病情严重,幕下出血的凶险程度大于幕上出血,脑疝和OSF是脑出血患者的主要死因。③发病7天内早期发热可能是脑出血预后不良的重要指征。
Objective To investigate the influence of fever to the near prognosis of cerebral haemorrhage. Methods A total of 338 patients of cerebral haemorrhage were divided into two groups：fever （T≥37.5 ℃, n=127） and no-fever （T〈37.5 ℃, n = 211）. Organ and system failure （OSF）, the rate of cerebral hernia and fatality were compared between the two groups. Results ① 94 percent in fever group had the definite infections. ② The rates of OSF, cerebral hernia and mortality in fever group rose significantly when compared with those in non-fever group（ P〈0.01）. The rate of cerebral hernia was significantly higher in the patients of subtentorial haemorrhage when compared with that of supertentorial haemorrhage. ③The rates of OSF, cerebral hernia and the mortality of the patients whose temperature got higher in 7 days＇ hospitalization rose greatly compared with those of the patients who had fever after 7 days＇ hospitalization （ P〈0.01）. Conclusion ① Infection was the main cause of cerebral haemorrhage following fever.②The patients were more serious in subtentorial haemorrhage than those in supertentorial haemorrhage. The cerebral hernia and OSF were the main causes of death. ③Fever in 7 days＇ hospitalization was an independent factor of malignant prognosis in the patients of cerebral haemorrhage.
出处
《临床荟萃》
CAS
北大核心
2005年第23期1333-1335,共3页
Clinical Focus
关键词
脑出血
发热
预后
cerebral haemorrhage
fever
prognosis
