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目的评价纤维支气管镜(简称纤支镜)术后发热的发生率和临床特点。方法前瞻性地观察和分析了从2004年5月至2005年4月呼吸科住院患者纤支镜术后发热的临床表现。结果172例住院行纤支镜检查患者,37例(22%)患者出现了术后发热,其中32例(19%)患者未经处理,体温在24 h内降至正常,另5例发热持续3~5 d,给予对症处理。平均术后开始发热时间(3.5±1.7)h,平均发热持续时间(10.8±6.7)h。术后发热和不发热患者纤支镜术后外周血白细胞和中性粒细胞计数均显著高于术前(P均<0.01),但发热患者术后外周血白细胞和中性粒细胞升高比不发热患者更明显(P均<0.01)。结论纤支镜术后短期发热是一比较常见的术后并发症,无需特殊处理。
Objective To evaluate the incidence and clinical features of postoperative fever in patients with bronchofibroscopy. Methods The clinical manifestations of fever after bronchoscopy inpatients of respiratory department from May 2004 to April 2005 were prospectively observed and analyzed. Results Of the 172 patients undergoing bronchofibroscopy, 37 (22%) had postoperative fever, of whom 32 (19%) were untreated, their body temperature dropped to normal within 24 hours, and the other 5 had sustained fever 3 ~ 5 d, given symptomatic treatment. Mean postoperative fever onset time (3.5 ± 1.7) h, the average duration of fever (10.8 ± 6.7) h. Peripheral blood leucocyte and neutrophil count in patients with fever and no fever after operation were significantly higher than those before operation (all P <0.01), but the level of leukocyte and neutrophil Patients without fever were more obvious (P <0.01). Conclusion Short-term fever after bronchoscopy is a common postoperative complication without special treatment.