论文部分内容阅读
过高热──即超过41.1℃的体温,其原因是不同的,包括感染、中暑、丘脑下部功能障碍和高代谢状态。无论高热的原因如何,极大多数高热病人对常规的阿斯匹林、扑热息痛、体表降温和静脉内补液疗法有效。需要更积极的治疗的病人是少见的,例如冰水胃内灌洗、静脉内输入冰凉液体或氯丙嗪注射。病者55岁,男,于主动脉瓣置换术后4周和金黄色葡萄球菌性纵隔炎清创术后3天,出现木僵、左侧轻度偏瘫和持续性的过度换气;计算机轴性x线断层扫描提示右侧基底神经节的巨大梗塞。病人无发热。
Excessive heat ─ ─ body temperature over 41.1 ℃, for several reasons, including infection, stroke, subthalamic dysfunction and high metabolic state. Regardless of the cause of hyperthermia, the vast majority of high-fever patients are effective against conventional aspirin, paracetamol, body cooling and intravenous rehydration therapy. Patients who require more active treatment are uncommon, such as intragastric lavage of ice water, intravenous infusion of cold liquid or injection of chlorpromazine. The patient was 55 years old and had a stupor, mild left hemiparesis and persistent hyperventilation at 4 weeks after aortic valve replacement and 4 days after STAP. The computer axial x Line tomography prompts a massive infarction of the right basal ganglia. No fever in patients.