我院1990年12月至1992年10月,用静脉注射硫酸镁治疗寒颤高热21例。报道如下。临床资料及方法本组男14例,女7例;年龄32～72岁。引起寒颤高热的原因有:输液反应9例,输血反应3例,感染所致者9例(其中细菌性肺炎5例,急性肾盂肾炎3例,急性扁桃体炎1侧)。体温均在39℃以上。临床表现为畏寒、寒颤、皮肤苍白、四肢发凉、呼吸急促等,其中5例输液反应出现寒颤,经用地塞米松和非那根效果不好改用本法。 25％硫酸镁5ml(上海海普药厂)加入5％葡萄糖水20ml,缓慢静脉注射(5分钟内注完)。有糖尿病者改为生理盐水稀释。由输液引起者,立即停止输液;由输血所致者,在严密观察及核对血型无误、血源无污染情况 Our hospital from December 1990 to October 1992, intravenous magnesium sulfate treatment of chills and fever in 21 cases. Reported as follows. Clinical data and methods The group of 14 males and 7 females; aged 32 to 72 years. Cause chills and fever caused by: infusion reaction in 9 cases, 3 cases of transfusion reactions, caused by 9 cases of infection (including 5 cases of bacterial pneumonia, acute pyelonephritis in 3 cases, acute tonsillitis 1 side). Body temperature are above 39 ℃. Clinical manifestations of chills, chills, pale skin, extremities cold, shortness of breath, etc., 5 cases of infusion reaction shivering, dexamethasone and phenanthrene effect is not good to use this method. 25% Magnesium Sulfate 5ml (Shanghai Haipu Pharmaceutical Factory) Add 20ml of 5% dextrose solution and slowly intravenously (note within 5 minutes). Diabetic patients changed to saline dilution. Caused by the infusion, immediately stop infusion; caused by the blood transfusion, in close observation and check the blood type is correct, no blood pollution