在小儿神经外科手术患者中,术后发烧的明显模式
Abhijit Goyal-Honavar1, Annsmol P Markose1, Ankush Gupta1
1Section of Neurosurgery, Department of Neurosciences, Christian Medical College, Vellore, 632004, Tamil Nadu, India.
概括
手术后发烧在儿童神经外科患者中很常见,通常是由无菌性脑膜炎引起的. 这种发烧导致更长的住院时间,是重新入院的常见原因.
科学领域:
- 儿科神经外科 儿科神经外科
- 传染性疾病 传染性疾病
- 临床结果 临床结果
背景情况:
- 手术后发烧是神经外科手术后经常出现的并发症.
- 小儿神经外科手术患者发烧原因的数据有限.
研究的目的:
- 确定儿科神经外科患者 (18岁以下) 术后发烧的发生率,原因和结果.
- 将结果与最近发表的成年人队列进行比较.
主要方法:
- 在12个月内对61名儿科患者进行73次非创伤性神经外科手术的前性数据收集.
- 用于发烧评估和管理的标准化协议.
- 发烧定义为温度>37.7°C长达>48小时或临床恶化;温度暂时升高 (TET) 定义其他.
主要成果:
- 术后发烧发生在35.6%的儿科患者中,比成人更高的发病率.
- 麻醉性脑膜炎是最常见的原因 (34.6%),其次是尿路感染 (15.4%).
- 发烧与更长的住院时间有关,是再入院的主要原因.
结论:
- 儿科神经外科患者的早期温度升高可能表明严重的传染性和非传染性原因,包括无菌性脑膜炎.
- 临床评估和与机构数据一致的保守抗生素策略是建议用于管理儿科术后发烧的.
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