Characteristics and Treatment of Fever in Patients with Severe Craniocerebral Injury
10.3870/j.issn.1004-0781.2017.02.002
- VernacularTitle:重度颅脑损伤患者发热的特点与治疗
- Author:
Chencai LI
;
Yumei DONG
;
Guiming JIN
- Keywords:
Injury,craniocerebral;
Fever,non-infection;
Fever,infection
- From:
Herald of Medicine
2017;36(2):122-126
- CountryChina
- Language:Chinese
-
Abstract:
Fever in patients with severe craniocerebral injury was a frequent occurrence.The rate of fever patients lead to plant man or death high up to 28％-72％.The univariate analysis found that there was significant association between fever and motality.One of the common cause of fever was non-infectious fever,which related with craniocerebral injury,including central fever,dehydration fever,clonus and rebleading fever.The major complication was central high fever after servere craniocerebral injury.The temperature high up to 39 ℃,which aggravated the original basic diseases,lead to respiratory and circulatory failure.Another cause of fever was infection fever which associated with nosocomial infection.Serious disease,long hospiltal stay,high proportion of invasive operation,coma were the high risk factors of patients with craniocerebral injury.The major type of nosocomial infection were pudmonary infection and surgical site infection.By reviewing domestic and foreign literatures and expert consensus,this article was intended to explore the characteristics and mechanism of fever in patients with craniocerebral injury.In order to reduce the secondary brain injury,decrease the disability rate,increase the sutrvival rate,diagnosis and treatment should be taken early.
