门脉高压症患者脾切除术后持续性发热的原因分析

目的　探讨门脉高压症患者脾切除术后持续性发热的原因。方法　对 80例门脉高压症手术后体温 >3 8 5℃ ,持续性发热 2周以上的患者发热原因进行回顾性分析。结果　除 2例原因不明外 ,其余术后持续发热均由各种并发症引起。以门脾静脉血栓形成及脾窝积血、积液最常见。持续性发热与肝功能分级显著相关 (P <0 0 1) ,与术式无明显关系 (P >0 0 5 )。结论　防治各种并发症及改善肝功能可有效地减少术后持续性发热

Analysis of the Cause of Postsplenectomy Persistent Fever

Objective To discuss the cause of postsplenectomy fever in portal hypertensive patients. Methods The cause of 80 portal hypertension patients with liver cirrhosis undergoing splenectomy accompanied by a persistent fever higher than 38.5℃ for more than 2 weeks postoperatively are reviewed.Results Except for two patients with unknown cause,78 patients with persistent fever were caused by all kinds of complications.Splenoportal thrombosis and hematocele,hydrops or infection in the splenic recess were the main reasons of persistent fever after splenectomy.The lasting fever was related to the grade of liver function( P <0.01). The surgical modality adopted had nothing to do with the continuous fever. Conclusion Treatment of infection and amelioration of hepatic function will help to reduce the rate of postoperative continuous fever.