注射胶原酶治疗腰椎间盘突出症术后发热分析
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作者Author单位AddressE-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,第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)
中文摘要:

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.
KEY WORDS  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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