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目的探讨职业性三氯乙烯(TCE)药疹样皮炎住院患者发热的原因和护理对策。方法回顾调查医院2000年1月-2006年12月职业性TCE药疹样皮炎住院发热患者的有关临床资料,分析患者发热的原因和总结正确的降温及护理措施。结果82例职业性TCE药疹样皮炎住院发热患者中,有18例出现≥2次的发热。因感染因素发热的54例次,其中以皮肤黏膜感染为主共22例次,肺部感染18例次,上呼吸道感染10例次,菌血症和败血症共4例次;非感染因素发热64例次,其中疾病因素39例次,药物过敏反应16例次,其他因素9例次;发热的热程<7 d 102例次,>7 d 16例次;发热热型以不规则热、弛张热和稽留热多见,其次是间歇热,热型的表现与发热的原因未呈现明显的特异性。结论通过对职业性TCE药疹样皮炎住院发热患者体温变化特点、细致观察病情和及时协助做好相关检查,可为职业性TCE药疹样皮炎住院发热患者早期原因诊断及选择有效的降温和护理措施提供依据。
Objective To investigate the causes of fever in hospitalized patients with occupational trichlorethylene (TCE) dermatitis and nursing strategies. Methods The clinical data of hospitalized fever patients with hospitalized TCE drug-like dermatitis from January 2000 to December 2006 were retrospectively investigated. The causes of fever and the correct cooling and nursing measures were summarized. Results 82 cases of occupational TCE dermatitis etiology in hospital fever, there were 18 cases of ≥ 2 times fever. There were 54 cases of fever caused by infection, including 22 cases of skin and mucous membrane infection, 18 cases of pulmonary infection, 10 cases of upper respiratory tract infection, 4 cases of bacteremia and sepsis, and non-infection of 64 Among them, there were 39 cases of disease factors, 16 cases of drug allergic reactions and 9 cases of other factors. The fever duration was less than 7 days in 102 cases and> 7 days. The fever type was irregular heat and relaxation Zhang heat and missed more common heat, followed by intermittent fever, fever-type performance and fever did not show obvious specificity. Conclusion The changes of temperature in occupational TCE dermatitis inpatients with fever, in-depth observation of the disease and promptly assisted in the related examination may provide an early diagnosis of occupational fever in hospitalized patients with TCE and the effective measures of cooling and nursing in accordance with.