摘要
目的：进一步研究电子支气管镜检查术后发热特点与肺结核的相关性。方法：选取我院于2010年1月～2013年4月收治的400例经过电子支气管镜检查患者，术后发热患者共112例，根据病理诊断将其分成3组，即结核组71例、肺癌组17例、其他组24例；术后未发热的288例，其中157完整病例和细胞因子检测患者为对照组。观察术中操作过程并检查血常规及体温的变化。结果：结核组术后发热占有率为17．8％，高于肺癌组和其他组（P〈0．05）；结核组发热患者的平均体温、出现时间、持续时间均优于肺癌组和其他组（P〈0．05）；结核组术后的中性粒细胞比值低于肺癌组和其他组（P〈0．05）；结核组的支气管镜检查时间、术中出血量明显高于肺癌组和其他组（P〈0．05）。结论：肺结核患者通过电子支气管镜检查术后出现发热症状较多，引起术后发热的原因与术中出血量，手术时间和气管受损等有关。
Objective：To further study the correlation of the heating characteristics and postoperative pulmonary tuberculosis electronic bronehoscopy. Methods：in our hospital from 2010 January to 2013 April were 400 cases with electronic bronchoscopy patients, postopera- tive fever in patients with a total of 112 cases, according to the pathological diagnosis will be divided into three groups, namely the tuber- culosis group 71 cases, 17 cases of lung cancer, the other group of 24 cases ;288 cases without postoperative fever, which detection of pa- tients with 157 complete cases and cytokine for the control group. Changes in operating process and examined blood and body temperature were observed. Results：the tuberculosis group postoperative fever share of 17.8% , higher than the lung cancer group and the other groups （ P 〈 0.05） ; tuberculosis group patients with fever of average temperature, time of occurrence, duration were better than the lung cancer group and the other groups （P 〈0.05） ;tuberculosis group postoperative neutrophil ratio lower than the lung cancer group and the other groups （ P 〈 0.05） bleeding time; bronchoscopy, of tuberculosis group was significantly higher than that of the lung cancer group and the other groups （ P 〈 0.05）. Conclusion： Patients with pulmonary tuberculosis by electronic bronchoscope postoperative fever symp- toms more, cause postoperative bleeding heating reason and in the operation, operation time and airway etc.
出处
《中国伤残医学》
2013年第11期30-31,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
肺结核
电子支气管镜
发热
Electronic bronchoscopy
Pulmonary tuberculosis
Febrile -
