小儿部分性脾栓塞术后体温变化及其相关因素分析

Analysis of Temperature Change and Correlative Factors after Partial Splenic Embolization in Children

为探讨小儿部分性脾栓塞不（ＰＳＥ）后的体温变化规律及原因，笔者对７８例行ＰＳＥ治疗术的患儿术后的体温变化进行了详细观察。文章根据患儿年龄、术前脾脏大小、术后脾脏有无液化灶及术后使用抗生素种类进行分组．经过统计分析得出：ＰＳＥ术后患儿体温一般在术后第一天开始上升，术后第二天达到最高峰，平均为３８℃，以后逐渐下降．持续时间为１０天．术后第１１天体温降至正常范围。长期以来临床认为ＰＳＥ术后发热主要与脾栓塞后坏死液化吸收有关，文章认为其发热原因可能与ＰＳＥ术后脾脏梗死灶周围出现炎症反应带有关，并且提出．当患儿ＰＳＥ术后第３天体温仍然高于３８．５℃时，则提示脾脏可能会出现液化坏死灶、最后．笔者认为，ＰＳＥ术后预防感染所用的抗生素应以青霉素类为好。

To find out the causes and regulations of temperature change atfter Partial Splenic Embolization (PSE) in children. 78 cases had been observed carefully' T hese children were divided into several groups depending on their age. the sizes of spleen before PSE,the existence of liquefaction lesion or not,and type of antibiotics used after PSE. The results with statistic analysis are as follows after PSE. the temperature usually began to rise on the first day,and got at the highest level on the second day. the average temperature is 38℃. then fell gradually and lasted for ten days. For a long time in the past. the fever was considered to be related ic absorption of liquefaction and necrosis But according to oUr observing,the fever might be related to inflammations around the spleen infarction lesins. When the temperature was still over 38. 5℃ 3 days after PSE. the liquefaction lesions would occur. Finally.the authors suggested that penicillin be of choice to prevent inflammations after PSE