【摘要】 目的探讨颈椎外伤后发热的原因及其处理方法。方法回顾性分析了298例颈椎外伤患者的临床资料。结果经调查发现298例患者中发热患者87例,占全部病例的29.2%,其中坠积性肺炎17例,泌尿系感染12例,褥疮感染5例,伤口感染5例,脑膜炎3例,植物神经功能紊乱20例,药物热15例,贫血2例及吸收热8例。颈椎外伤患者并发发热的发生率与脊髓损伤程度有关。结论颈椎外伤患者发热的发生与坠积性肺炎、泌尿系感染、褥疮感染、伤口感染、脑膜炎、植物神经功能紊乱、药物热、贫血及吸收热有关,及时查明发热原因,采取相应措施可避免病情加重。ASIA运动评分与颈椎外伤患者发热的发生有相关性。更多还原

【Abstract】 Objective To study the causes and treatment in the cervical vertebrae injury complicated with fever.Methods 298 fever cases after cervical vertebrae injury were analized.Results 87 patients developed fever in the 298 cases with cervical vertebrae injury and the proportion is 29.2%.There are 17 cases hypostatic pneumonia,12 cases urinary tract infection,5 cases bed sore infection,5 cases wound infection,3 cases meningitis,20 cases vegetative nerve functional disturbance,15 cases drug fever,2 cases anemia and 8 cases drug fever.The occurrence rate of fever in cervical vertebrae injury is correlated to the severity of cervical spinal cord injury.Conclusion The potential etiologic factors of fever includes hypostatic pneumonia,urinary tract infection,bed sore infection,wound infection,meningitis,vegetative nerve functional disturbance,drug fever,anemia and absorbed heat due to cervical vertebrae injury.We should quickly detect the reasons for the fever and give the treatment accordingly to prevent the situation worse.The occurrence rate of fever in cervical vertebrae is correlated to the motor grade of ASIA.更多还原