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神经外科,原发或继发脑干损伤多见,此处损伤常波及到丘脑下部,致使中枢性高热持续不退,虽有各种降温措施,但有时效果仍不佳.对此我们加用小儿退热栓,效果较好,介绍如下。1临床资料 共16例,男10例,女6例,年龄16～62岁,均系车祸致伤,其中原发脑于损伤发生高热9例.继发脑干损伤发生高热7例。均在伤后出现持续不退高热,体温在39～41℃。应用普通冰帽,冰袋.酒精擦浴,体温均不能恢复正常,我们在应用上述措施无效情况下,加用小儿退热栓0.6(0.3/支)。2～4/日,肛门塞入,用药后半小时,均使体温降至37.6℃以下,当全天不用此药物后,体温又升至39℃以上,重复应用,又可使高热控制。其中13例安全度过了中枢高热期,3例因呼衰、心衰死亡。
Neurosurgery, primary or secondary brain stem injury more common, where damage often affects the lower part of the thalamus, resulting in sustained high fever central and unrelenting, although a variety of cooling measures, but sometimes the effect is still not good. Children antipyretic suppository, the effect is better, introduced as follows. 1 Clinical data A total of 16 cases, 10 males and 6 females, aged 16 to 62 years old, were injured in a car accident, including primary brain injury in 9 cases of high fever. Secondary brain stem injury occurred in 7 cases of fever. After the injury sustained high fever, body temperature at 39 ~ 41 ℃. The application of ordinary ice cap, ice bag. Alcohol sponge bath, body temperature can not be restored to normal, we apply the above measures ineffective, plus children with antipyretic plug 0.6 (0.3 / support). 2 ~ 4 / day, anus stuffing, half an hour after treatment, all the body temperature dropped to 37.6 ℃ below, when the whole day without this drug, the body temperature rose to 39 ℃ above, repeat the application, but also make high fever control. Thirteen of them safely passed the central fever period, and three died of heart failure due to respiratory failure.