发热反应是输液反应中最常见的临床表现。对体温正常的患者在输液中出现的发热反应容易判断,但对发热病人尤其是高热病人输液中伴发的发热反应则难以鉴别,对此若不能及时地作出正确诊断,临床上很容易贻误治疗时机甚至引起生命危险。因此,及时正确地对发热病人伴发输液反应进行判断显得尤为重要,根据我们二十余年的临床体会,从下列几个方面可进行鉴别。1、输液反应常因输入致热物质(包括致热原,死菌、游离菌体蛋白、其它蛋白质和 Fever is the most common clinical manifestation of infusion reactions. For patients with normal body temperature in the infusion reaction is easy to judge, but fever in patients, especially fever in patients with infusion of fever is difficult to identify the differential, if not in a timely manner to make the correct diagnosis, it is easy to delaying the clinical treatment Timing can even be life-threatening. Therefore, timely and correct diagnosis of febrile patients with infusion reaction is particularly important, according to our more than 20 years of clinical experience, from the following aspects can be identified. 1, infusion reaction often due to the import of pyrogenic substances (including pyrogen, dead bacteria, free bacterial protein, other proteins and