小儿腹股沟斜疝术后发热特点及原因探讨

目的 分析小儿腹股沟斜疝术后发热的特点及原因.方法 对1036例5岁以下腹股沟斜疝患儿进行术后体温观测和分析.结果 术后出现发热582例(56.18%).最高体温37.5℃～39.5℃,体温波动在0.8℃～1.5℃.开始发热时间平均术后9.7 h,发热持续时间平均4.3 h.结论 小儿腹股沟斜疝术后发热多不符合典型吸收热的特点,其发生几率高、开始早、持续短、多呈中度不规则发热.其原因除考虑吸收热和感染性发热外,更要考虑麻醉药物引起发热的可能性.

Features and causes of indirect inguinal hernia postoperative fever in children

Objective To analyze the features and causes of indirect inguinal hernia postoperative fever. Methods In 1 036 cases,the inguinal hernia operation cases of body temperature after operation were observed and analyzed for 5 years. Results Postoperative fevers were observed in 582 cases ( 56. 18% ) . The highest temperature was 37. 5℃ to 39. 5℃ ,and temperature fluctuations are in the ranges of 0. 8 ℃ to 1. 5℃ . The fever initiated from a mean of 9. 7 hours and lasted for a mean duration of 4. 3 hours. Conclusions The indirect inguinal hernia postoperative fever in Children is not consistent with the typical heat absorption characteristics,and its occurrence probability is a high and moderately irregular fever with a short duration and early start time. The absorption of heat,infectious fever,andanesthetic drug induced fever possibilities should be taken into considerations.