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作者5年间收治28例极高热患者年龄6～74岁,男23例。最高体温41.1～42.2℃,其中11例体温≥41.7℃。发热病因分为4组,①感染11例(39%),内7例为同紫阴性杆菌败血症(其中原发灶在泌尿道者4例,腹内脓肿者2例,肺部者1例,内1例尚伴发粟粒性结核和淋巴瘤);金黄色葡萄球菌败血症、肺炎、肾盂肾炎及疟疾各1例。②感染和体温调节功能减损9例(32%),其中4例为严重灼伤并发败血症、广泛的封闭敷料大大地减少散热;3例为截瘫或四肢麻痹(植物神经功能不全)并发感染;2例系体温调节功能障碍(广泛颅内出血和病毒性脑炎各1例)。
The authors treated 28 cases of very high fever in patients aged 6 to 74 years, 23 males. The highest temperature 41.1 ~ 42.2 ℃, of which 11 cases of body temperature ≥ 41.7 ℃. Hemorrhagic etiology was divided into four groups, ① infection in 11 cases (39%), 7 cases of the same purple-negative bacillus sepsis (including 4 cases of primary foci in the urinary tract, 2 cases of intraabdominal abscess, 1 case of lung, 1 case was still associated with miliary tuberculosis and lymphoma); Staphylococcus aureus septicemia, pneumonia, pyelonephritis and malaria in 1 case. Infection and thermoregulation function were impaired in 9 cases (32%), of which 4 cases were severe burns with septicemia. A wide range of occlusive dressings significantly reduced the heat dissipation; 3 cases were paraplegia or quadriplegia (autonomic nerve dysfunction) complicated with infection; 2 cases Department of body temperature regulation dysfunction (a wide range of intracranial hemorrhage and viral encephalitis in 1 case).