Department of Orthopaedic Surgery, Monmouth Medical Center, Long Branch, New Jersey 07740, USA.
J Arthroplasty. 2011 Dec;26(8):1404-8. doi: 10.1016/j.arth.2011.02.019. Epub 2011 Apr 7.
Forty percent to 50% of patients may experience an immediate postoperative fever. Research suggests that these are of aseptic cause due to inflammatory mediators. This is a retrospective analysis of fevers in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients from 2006 to 2008. Thirty-six percent of THA and 31% of TKA patients developed a fever, with most developing a maximum temperature on postoperative day (POD) 2. The maximum mean temperature between the THA and TKA group was not significantly different. Fevers in the immediate postoperative period are a normal variant in patients undergoing THA or TKA. Urinalysis, urine culture and sensitivity, and chest x-ray are not required during this period because most of these fevers stem from aseptic causes.
40%至 50%的患者可能会出现术后即刻发热。研究表明，这些发热是由于炎症介质引起的无菌性原因。这是对 2006 年至 2008 年全髋关节置换术（THA）和全膝关节置换术（TKA）患者发热的回顾性分析。36%的 THA 和 31%的 TKA 患者出现发热，大多数患者在术后第 2 天（POD）达到最高体温。THA 和 TKA 组之间的最高平均体温无显著差异。THA 或 TKA 术后即刻发热是患者的正常变异。在此期间不需要进行尿分析、尿培养和药敏试验以及胸部 X 线检查，因为大多数发热是由无菌性原因引起的。
