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注射胶原酶治疗腰椎间盘突出症术后发热分析
Hits: 2057   Download times: 1201   Received:April 23, 2002  Revised:November 01, 2002  
作者Author单位UnitE-Mail
陈家骅 CHEN Jiahua 安徽医科大学第一附属医院麻醉科,安徽合肥230022 Department of Anesthesilogy,First Affiliated Hospital of Anhui Medical University Anhui Hehui 230022  
刘以跃 LIU Yiyue 安徽省灵璧县医院  
樊刚 FAN Gang 安徽省颍上县医院  
何云清 安徽省霍山县中医院  
期刊信息:《中国骨伤》2003年16卷,第3期,第129-131页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:安徽省教育厅自然科学基金资助项目(99J10104)


目的:分析注射胶原酶治疗腰椎间盘突出症术后的发热特点及可能原因。

方法:回顾378例腰椎间盘突出症患者接受注射胶原酶溶解术的治疗情况,按时间先后分为A、B两组,A组250例,B组128例。

结果:A组仅有2例轻微发热(37.3℃);B组有24例发热(37.4~40.5℃),占同期病例的18.75%。发热间隔时间短(3~32h),发热程度与时间间隔呈反比,伴随有头痛、恶心、呕吐等症状,经对症处理迅速降温。

结论:注射胶原酶溶盘术后可发生程度不等的发热,预后较好。发热与胶原酶批号有关,原因可能为药物热.
[关键词]:椎间盘移位  椎间盘化学松解术  并发症  发热
 
Analysis of fever after injection of collagenase for the treatment of herniated lumber disc
Abstract:

Objective:To analyze the characteristics and possible reason of the fever after injection of collagenase for the treatment of herniated lumbar disc

Methods:378 cases of the herniated lumbar disc treated with the injection of collagenase were retrospectively reviewed.They were divided into two groups(A and B)according to time sequence;250 cases in group A and 128 cases in group B.

Results:Only 2 cases had slight fever(37.3 ℃)in group A,but 24 cases(18.75%)had fever(37.4~40.5 ℃)in group B.Fever degree to time interval presented inverse ratio.There were some concomitant symptoms,such as headache,nausea,vomit,etc.

Conclusion:The patients may have fever with different level in short time interval(3~32 h)after the injection of collagenase.But the prognosis is good.The fever may be related to the collagenase batch number and caused by drug fever.
KEYWORDS:Intervertebral disc displacement  Intervertebral disc chemolysis  Complications  Fever
 
引用本文,请按以下格式著录参考文献:
中文格式:陈家骅,刘以跃,樊刚,何云清.注射胶原酶治疗腰椎间盘突出症术后发热分析[J].中国骨伤,2003,16(3):129~131
英文格式:CHEN Jiahua,LIU Yiyue,FAN Gang.Analysis of fever after injection of collagenase for the treatment of herniated lumber disc[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(3):129~131
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