摘要
目的观察急性一氧化碳中毒（ACOP）患者发热症状的比例,鉴别发热的原因,探讨ACOP发热与其预后的相关性。方法选取我院202例ACOP住院患者,对其发热情况、预后、抗生素的使用及血常规检查等资料表格化登记,随后进行统一数据整理和统计学分析,比较发热组及无发热组的白细胞计数水平,同时比较不同发热组及无发热组间的2周病死率。结果 202例ACOP患者中无发热者114例（56.4%）,入院后48 h内发热者88例（43.6%）;发热组白细胞升高比率明显高于无发热组（P〈0.05）;发热组（≥38.1℃）2周病死率分别明显高于发热组（37.2～38℃）及无发热组（P〈0.05）,而发热组（37.2～38℃）2周病死率与无发热组比较无统计学差异（P〉0.05）。结论发热是ACOP常见的伴随症状,引起ACOP患者发热的原因多样,需仔细鉴别,以减少抗生素的不必要使用。中度以上发热是ACOP死亡的危险因素之一,与其预后具有一定的相关性。
Objective To observe the proportion of of fever symptoms in patients with acute carbon monoxide poisoning （ ACOP ）, identify the causes of fever and explore the correlation between fever and prognosis in patients with ACOP. Methods 202 cases of hospitalized patients with ACOP in our hospital were selected, whose information on fever, prognosis, use of antibiotics, blood routine examination and so on were registered in form, then followed by a unified data collection and statistical analysis. The count levels of white blood cell were compared between fever group and no fever group, meanwhile the two-weeks mortality was compared among different fever groups and no fever group. Results There were 114 patients without fever （56.5%）and 88 cases with fever （43.5%） in 48h after admission in 202 patients with ACOP. The white blood cell increase ratio of fever group was significantly higher than no fever group （P〈0.05）. Respectively the two- weeks mortality of the fever group （ ≥ 38.1 ℃ ） was significantly higher than the fever group （37.2 ～ 38 ℃ ）and no fever group （P〈 0.05 ）, but there was no statistical difference of the two- weeks mortality between the fever group （37.2 ～ 38 ℃） and no fever group（P〉0.05）. Conclusion Fever is a common accompanying symptoms in ACOP. There are a variety of causes leading to fever in ACOP, which needs to identify carefully in order to reduce the unnecessary use of antibiotics. Moderate fever or above is one of death risk factors for ACOP and has certain correlation with its prognosis.
出处
《基层医学论坛》
2014年第13期1657-1659,共3页
The Medical Forum
关键词
一氧化碳中毒
发热
预后
相关性
Carbon monoxide poisoning Fever Prognosis Correlation analysis
