急性上消化道出血合并体温改变的临床观察与护理

Clinical observation and nursing of acute upper gastrointestinal bleeding combined temperature change

目的:观察急性上消化道出血时合并体温变化的现象,讨论出血与体温变化的关系及对治疗的帮助。方法:对急性上消化道出血合并体温改变患者的临床资料进行回顾性分析。结果:体温变化发生率69.5%,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℃,发热与上消化道出血的原因并无无明显关系,对于体温不超过38.5℃的患者,可进行密切观察不进行任何特殊的处理,体温超过38.5℃的可以给予物理降温;少部分体温反而降至正常值以下,预后往往不佳,应当积极采取复温措施。结论:如果排除原发病、感染等所致患者发热后,体温的变化对于判断急性上消化道出血情况、出血继续或停止以及转归与预后都有一定的帮助作用。

Objective： To observe the phenomenon of acute upper gastrointestinal bleeding combined temperature change, discuss the relationship between bleeding and changes in body temperature, helping to treatment. Methods： Acute upper gastrointestinal hemorrhage temperature change the patient＇s clinical data were retrospectively analyzed. Results： Temperature changes in the incidence of 69.5%, mainly fever, are all irregular fever, after hemorrhage 3 to 5 days, the highest body temperature, generally not more than 38.5 ℃, fever and upper gastrointestinal bleeding causes no significant relationship, patients body temperature does not exceed 38.5 ℃, can be closely observed without any special treatment, body temperature above 38.5℃ can give physical cooling; A small part of the body temperature can fall below normal, the prognosis is often poor, should take active rewarming measures. Conclusion： If you exclude the primary disease, infection caused by fever, changes in body temperature has the help for determining acute upper gastrointestinal bleeding, bleeding to continue or stop and outcome and prognosis.