颅脑创伤后发热原因分析

Analyze the Causes of Fever after Traumatic Brain Injury

目的:探讨颅脑创伤后发热的原因及治疗原则。方法:回顾性分析60例中、重型闭合性颅脑创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9例(15%)脱水热20例(33%),中枢性高热26例(43%),感染性休克发热5例(8%)。处理措施包括补充血容量、广谱抗生素、物理降温等纵使办法。43例发热好转,17例呈植物生存或死亡。结论:颅脑创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 reasons and treatment principle of fever after traumatic brain injury. Method： 60 cases with traumatic brain injury who had different fever were studied and its diagnosis, differential diagnosis were focused on. Result： 9 of 60（15%）were pneumonia fever, 20 of 60（33% ）were dehydration fever, 26 of 60（43%）were neurologic fever and infections fever were 5 cases（8%）. All cases fever were treated by adding blood volume, antimicrobial agents using, physical cooling and so on. 43 of 60 had fever controlled, the rest were planty alive or death. Conclusion： There were several causes on the fever of posttraumatic brain injury. It should be treat timely in order to improve its survival rate.