细支气管炎中发热与严重临床病程的关联。
Association of fever and severe clinical course in bronchiolitis.
作者信息
El-Radhi A S, Barry W, Patel S
机构信息
Queen Mary's Hospital, Sidcup, Kent DA14 6LT, UK.
出版信息
Arch Dis Child. 1999 Sep;81(3):231-4. doi: 10.1136/adc.81.3.231.
Little attention has been given to the relation between fever and the severity of bronchiolitis. Therefore, the relation between fever and the clinical course of 90 infants (59 boys, 31 girls) hospitalised during one season with bronchiolitis was studied prospectively. Fever (defined as a single recording > 38.0 degrees C or two successive recording > 37.8 degrees C) was present in 28 infants. These infants were older (mean age, 5.3 v 4.0 months), had a longer mean hospital stay (4.2 v 2.7 days), and a more severe clinical course (71.0% v 29.0%) than those infants without fever. Radiological abnormalities (collapse/consolidation) were found in 60. 7% of the febrile group compared with 14.8% of the afebrile infants. These results suggest that monitoring of body temperature is important in bronchiolitis and that fever is likely to be associated with a more severe clinical course and radiological abnormalities.
人们很少关注发热与细支气管炎严重程度之间的关系。因此，我们对一个季节内住院治疗的90例婴儿（59名男孩，31名女孩）的发热情况与细支气管炎临床病程之间的关系进行了前瞻性研究。28例婴儿出现发热（定义为单次体温记录>38.0℃或连续两次体温记录>37.8℃）。与未发热的婴儿相比，这些发热婴儿年龄更大（平均年龄5.3个月对4.0个月），平均住院时间更长（4.2天对2.7天），临床病程更严重（71.0%对29.0%）。发热组60.7%的婴儿有放射学异常（肺不张/实变），而无发热婴儿组这一比例为14.8%。这些结果表明，在细支气管炎中监测体温很重要，而且发热可能与更严重的临床病程及放射学异常有关。
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