Olubodun J O, Adeujabo A O, Osuntokun B O
Dept of Medicine, University College Hospital, Ibadan, Nigeria.
Cent Afr J Med. 1991 Mar;37(3):77-9.
We assessed the temperature pattern in liver cirrhosis and abdominal tuberculosis during the first week of admission, before institution of definitive therapy. In 22 patients with liver cirrhosis, 59.19pc had subnormal temperatures and 9.1pc were pyretic. In 19 patients with abdominal tuberculosis, 31.6pc had subnormal temperatures and 36.8pc were pyretic (P less than 0.05). The group mean temperature of the cirrhotic patients lies within the subnormal temperature range while that of patients with abdominal tuberculosis lies within the normal range. This study suggests that patients with liver cirrhosis tend to develop subnormal temperatures much more than those with abdominal tuberculosis while pyrexia was commoner in the latter. The pattern of a carefully recorded and charted temperature can thus be of added distinctive value in situations where liver cirrhosis and abdominal tuberculosis pose diagnostic problems, where definitive diagnosis cannot be readily made or is delayed as a result of inadequate facilities.
我们在确诊治疗开始前,评估了肝硬化和腹部结核患者入院第一周的体温模式。22例肝硬化患者中,59.19%体温低于正常,9.1%发热。19例腹部结核患者中,31.6%体温低于正常,36.8%发热(P<0.05)。肝硬化患者的组平均体温处于体温低于正常范围,而腹部结核患者的组平均体温处于正常范围内。本研究表明,肝硬化患者体温低于正常的情况比腹部结核患者更为常见,而发热在后者中更为常见。因此,在肝硬化和腹部结核造成诊断困难、因设备不足无法立即做出明确诊断或诊断延迟的情况下,仔细记录和绘制的体温模式可能具有额外的独特价值。