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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 investigate the correlation between the postoperative fever and the pulmonary tuberculosis after electronic bronchoscopy. Methods: A total of 112 patients who underwent electronic bronchoscopy in our hospital from January 2010 to April 2013 were enrolled in the study. The patients were divided into three groups according to the pathological diagnosis: 71 cases in the tuberculosis group, Group 17 cases, the other 24 cases; 288 cases without fever, of which 157 complete cases and cytokines detected in patients as control group. Observe the operation process and check blood and body temperature changes. Results: The incidence of postoperative fever in tuberculosis group was 17.8%, higher than that in lung cancer group and other groups (P <0.05). The mean body temperature, the appearance time and the duration of fever in tuberculosis group were better than that in lung cancer group and other groups (P < 0.05). The ratio of neutrophils in tuberculosis group was lower than that in lung cancer group and other groups (P <0.05). The bronchoscopy time and intraoperative blood loss in tuberculosis group were significantly higher than those in lung cancer group and other groups (P <0.05) ). Conclusions: Tuberculosis patients have more fever symptoms by electronic bronchoscopy. The causes of postoperative fever are related to intraoperative blood loss, operation time and tracheal damage.