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心脏手术患者发热与感染的评估

Evaluation of fever and infections in cardiac surgery patients.

作者信息

Rhee Chanu, Sax Paul Edward

机构信息

Brigham and Women's Hospital, Boston, MA, USA

Brigham and Women's Hospital, Boston, MA, USA.

出版信息

Semin Cardiothorac Vasc Anesth. 2015 Jun;19(2):143-53. doi: 10.1177/1089253214538524. Epub 2014 Jun 22.

DOI:10.1177/1089253214538524
PMID:24958717
Abstract

Fever following cardiac surgery is common and may be infectious or noninfectious in etiology. In this article, we review the major causes of postoperative fever while highlighting special considerations in cardiac surgery patients. We also outline a structured approach to evaluation and present an overview of diagnostic and management considerations for mediastinitis, postpericardiotomy syndrome, prosthetic valve endocarditis, aortic vascular graft infections, and ventricular assist device infections.

摘要

心脏手术后发热很常见,其病因可能是感染性的或非感染性的。在本文中,我们回顾了术后发热的主要原因,同时强调了心脏手术患者的特殊注意事项。我们还概述了一种结构化的评估方法,并介绍了纵隔炎、心包切开术后综合征、人工瓣膜心内膜炎、主动脉血管移植物感染和心室辅助装置感染的诊断和管理注意事项。

相似文献

1
Evaluation of fever and infections in cardiac surgery patients.心脏手术患者发热与感染的评估
Semin Cardiothorac Vasc Anesth. 2015 Jun;19(2):143-53. doi: 10.1177/1089253214538524. Epub 2014 Jun 22.
2
Infectious complications after open heart surgery.心脏直视手术后的感染性并发症。
Heart Lung. 1984 Sep;13(5):472-81.
3
Clinical outcome after triple-valve operations in the modern era: are elderly patients at increased surgical risk?在现代时代进行三尖瓣手术的临床结果:老年患者的手术风险是否增加?
Ann Thorac Surg. 2014 Feb;97(2):569-76. doi: 10.1016/j.athoracsur.2013.07.083. Epub 2013 Oct 17.
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Management of Postoperative Fever in Adult Cardiac Surgical Patients.
Dimens Crit Care Nurs. 2017 May/Jun;36(3):182-192. doi: 10.1097/DCC.0000000000000248.
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[Diagnosis and treatment of causes of fever after open heart surgery].[心脏直视手术后发热原因的诊断与治疗]
Zhonghua Wai Ke Za Zhi. 1993 Apr;31(4):229-31.
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[Fever in patients with valve prostheses (except for infectious endocarditis)].[人工瓣膜患者的发热(感染性心内膜炎除外)]
Rev Med Chir Soc Med Nat Iasi. 1989 Jan-Mar;93(1):27-30.
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Early complications following cardiac surgery.心脏手术后的早期并发症。
Cardiovasc Clin. 1987;17(3):321-43.
8
Valvular heart disease and postoperative considerations.心脏瓣膜病及术后注意事项。
Semin Cardiothorac Vasc Anesth. 2015 Jun;19(2):130-42. doi: 10.1177/1089253214560171.
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Early postoperative fever and the "routine" fever work-up: results of a prospective study.术后早期发热与“常规”发热检查:一项前瞻性研究的结果。
J Surg Res. 2011 Nov;171(1):245-50. doi: 10.1016/j.jss.2010.03.009. Epub 2010 May 11.
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Postoperative fever and major infections after pediatric cardiac surgery.小儿心脏手术后的术后发热及严重感染
J Med Assoc Thai. 2012 Jun;95(6):761-70.

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Prognostic value of the Geriatric Nutritional Risk Index in patients undergoing cardiac surgery: a systematic review and meta-analysis.老年营养风险指数在心脏手术患者中的预后价值:一项系统评价和荟萃分析
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Unveiling the nexus of postoperative fever and delirium in cardiac surgery: identifying predictors for enhanced patient care.揭示心脏手术中术后发热与谵妄之间的联系:确定改善患者护理的预测因素。
Front Cardiovasc Med. 2023 Nov 10;10:1237055. doi: 10.3389/fcvm.2023.1237055. eCollection 2023.
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Postoperative Inflammation and Fever After Elective Aortic Valve and Aortic Root Replacement: A Retrospective Cohort Study.
择期主动脉瓣及主动脉根部置换术后的炎症与发热:一项回顾性队列研究
Open Forum Infect Dis. 2023 Jan 13;10(1):ofad015. doi: 10.1093/ofid/ofad015. eCollection 2023 Jan.
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A novel predictive model for new-onset atrial fibrillation in patients after isolated cardiac valve surgery.一种用于孤立性心脏瓣膜置换术后患者新发心房颤动的新型预测模型。
Front Cardiovasc Med. 2022 Sep 29;9:949259. doi: 10.3389/fcvm.2022.949259. eCollection 2022.
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Post-implantation syndrome after frozen elephant trunk is associated with the volume of new-onset aortic thrombus.冷冻象鼻术后植入后综合征与新发主动脉血栓的体积有关。
J Thorac Dis. 2021 Jul;13(7):4311-4321. doi: 10.21037/jtd-21-398.
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Absorption fever characteristics due to percutaneous renal biopsy-related hematoma.经皮肾活检相关血肿引起的吸收热特征
Medicine (Baltimore). 2016 Sep;95(37):e4754. doi: 10.1097/MD.0000000000004754.