80例大面积脑梗死继发体温升高与近期预后关系的临床分析

Clinical analysis on 80 patients with large area cerebral infarction of secondary temperature increased and recent prognosis relationship

目的：探讨大面积脑梗死患者继发性体温升高与近期预后的关系。方法：200例大面积脑梗死患者根据体温分为发热组（T≥37．5℃，80例）和非发热组（T〈37．5。C，120例）分析发病后3个月内两组多器官功能衰竭（MOF）和脑疝的发生率、病死率，伴发疾病及感染情况。结果：发热组伴糖尿病的比率，MOF和脑疝的发生率以及病死率均显著高于发病7～14d体温升高者（均P〈0．01）。结论：大面积脑梗死继发体温升高易出现在伴有糖尿病患者中，发病7d内体温升高易发MOF，病死率高，是近期预后不良的因素。

AIM： To explore the relationship of patients with large area cerebral infarction with secondary fervescence and recent progno sis. METHODS： According to the temperature, 200 patients with large area cerebral infarction were divided into fever group（ T≥37.5 ℃,80 cases） and non-fever group（T〈37.5 ℃, 120 ca-ses）. The incidence rate and case fatality rate of multiple organ failure （MOF） and cerebral her-nia, the concomitant disease and infection within 3 months were analyzed. RESULTS. The inci- dence rates and case fatality rates of MOF, cere-bral hernia and diabetes in fever group obviously higher than those got fever onset after 7--14 d. CONCLUSION： Large area cerebral infarction of secondary temperature increase is easily hap- pened in patients with diabetes. The MOF is easily happened in patients got fever in 7 d with high mortality. It is a factor of recent poor prog-nosis.