颅脑创伤术后非感染性发热的原因分析与处理

Cause analysis and management of noninfective fever after traumatic brain injury operation

目的分析颅脑创伤(TBI)开颅术后非感染性发热的原因,探讨其诊治措施。方法收集广州医科大学附属第六医院脑外科自2016年5月至2019年7月行TBI开颅术后非感染性发热的23例患者的病例资料,对其发热原因及相应临床特点进行分析。结果TBI开颅术后23例患者出现非感染性发热,其中吸收热3例,中枢性发热3例,植物神经功能紊乱2例,无菌性脑膜炎7例,皮下积液2例,假性囊肿1例,脑脊液漏3例,药物源性发热2例,经治疗后好转。结论TBI开颅术后非感染性发热的原因复杂,应针对不同原因采取个体化的治疗措施。

Objective To analyze the causes of noninfective fever after traumatic brain injury(TBI)craniotomy,and to explore its diagnosis and treatment.Methods Twenty-three cases with noninfective fever after TBI craniotomy from Department of Neurosurgery,The Sixth Hospital Affiliated to Guangzhou Medical University from May 2016 to July 2019 were collected,the causes of fever and its clinical characteristics were analyzed.Results There were 23 cases of noninfective fever after TBI craniotomy,including 3 cases of absorption fever,3 cases of central fever,2 cases of autonomic nervous dysfunction,7 cases of aseptic meningitis,2 cases of subcutaneous hydrops,1 case of pseudocyst,3 cases of CSF leak 2 cases of drug-induced fever,which improved after treatment.Conclusion The causes of noninfective fever after TBI craniotomy are complicated,and individualized treatment measures should be taken according to different causes.