急性上消化道出血合并体温变化的临床分析

The Clinical Analysis of the Acute Upper GI Bleeding with Temperature Changes

目的 观察急性上消化道出血时体温变化现象,探讨出血与体温变化的关系及治疗.方法 对急性上消化道出血合并体温变化患者的临床资料进行回顾性分析.结果 体温变化发生率73.2%,主要为发热,均为不规则热,出血后第3～5天体温最高,一般不超过38.5℃,发生率、热程、平均体温与出血程度呈正相关,发热与出血原因无明显关系,对于此类发热若体温不超过38.5℃可严密观察不作特殊处理,体温超过38.5℃可予物理降温;少部分体温可不升高,反而降至正常值以下,预后不佳,应积极采取复温措施.结论 排除原发病、感染等所致发热后,体温变化对于判断急性上消化道出血程度、出血继续或停止以及转归与预后都有一定的帮助.

Objective To observe the temperature changes phenomenon while the acute upper GI is bleeding and discuss the relation between bleeding and temperature changes and treatment.Methods Give a retrospect analysis to the clinical data about the patients’ temperature changes during the acute upper GI bleeding.Results The rate of the temperature changes is 73.2%,generate heat mainly and usually to be irregular fever.The temperature reaches the highest the three days after the acute upper GI,however,generally never above 38.5 centigrade.Occurrence rate,fever course,the average temperature and bleeding degree are closely related to each other.Fever has nothing obvious with the cause of the bleeding.To such a fever,if the temperature is not above 38.5 centigrade,only give a close observation instead of any special treatment.If the temperature is above 38.5 centigrade,reduce it in a physical way.However,some patients’ temperature doesn’t rise but fall below normal,if so,a measure should be taken to restore the temperature actively.Conclusion Rule out the possibility that plain morbidity and affection lead to the fever.Temperature changes are helpful to judge the degree of acute upper GI bleeding,continual bleeding or stop returning to with the prognosis as well as rotating.