脑外伤后发热诊断与鉴别诊断的初步探讨

Preliminary Clinical Researchon on Brain Posttraumatic Fever: Diagnosis and Differential Diagnosis

目的:探讨脑外伤后发热的诊断及治疗原则。方法:回顾性分析41例中、重型闭合性颅脑损伤病人的发热情况及其处理方法和结局。结果:合并呼吸道感染发热7例(17％),脱水热13例(39％),中枢性高热17例(41％),感染性休克发热4例(3％)。处理措施包括补充血容量、广谱抗生素、物理降温等综合办法。29例发热好转,12例呈植物生存或死亡。结论:脑外伤后高热有多种原因,应及时对症处理以提高生存率。

Objective：To explore the diagnosis and differential diagnosis of brain posttraumatcc fever and its treatmental principle. Methods： 41 cases with traumatcc brain injury who had different fever were studied and its diagnosis,differential diagnosis were focused on. Results： 7 of 41（17%） were pneumonia fever, 13 of 41（39%） were dehydration fever, 17 of 41（41%） were neurologic fever and infectious fever were 4 cases （3%）. All cases fever were treated by adding blood volume, antimicrobial agents using, physical cooling and so on. 29 of 41 had fever controlled, the rest were planty alive or death. Conclusion： There were several causes on the fever of posttrauma brain ingury. It should be treat timely in order to improve its survival rate.