感染性和非感染性鹰嘴滑囊炎。体表温度探头在感染性和非感染性病例早期鉴别诊断中的应用。
Septic and nonseptic olecranon bursitis. Utility of the surface temperature probe in the early differentiation of septic and nonseptic cases.
作者信息
Smith D L, McAfee J H, Lucas L M, Kumar K L, Romney D M
机构信息
Division of General Medicine, Oregon Health Sciences University, Veterans Administration Medical Center, Portland.
出版信息
Arch Intern Med. 1989 Jul;149(7):1581-5. doi: 10.1001/archinte.149.7.1581.
Forty-six consecutive cases of olecranon bursitis were prospectively analyzed during a 1-year period. Eleven cases were septic; 35 cases were nonseptic. In addition to bursal fluid analysis, the surface temperature over the involved olecranon bursa and the contralateral (control) olecranon process was obtained by using a surface temperature probe. We compared the temperature difference between the involved and control sides in all septic and nonseptic cases. In nonseptic cases, the mean surface temperature difference was 0.7 degree C vs 3.7 degrees C in septic cases. In all septic cases, the temperature difference was 2.2 degrees C or greater (range, 2.2 degrees C to 5.1 degrees C; SD, 1.1). Use of the surface probe temperature difference proved 100% sensitive and 94% specific in discriminating septic from nonseptic cases. It seems to be more helpful than the bursal fluid leukocyte count, the predominant cell type, or Gram's stain in the early differentiation of septic and nonseptic olecranon bursitis.
在1年的时间里，对46例连续性鹰嘴滑囊炎患者进行了前瞻性分析。其中11例为感染性；35例为非感染性。除了滑囊液分析外，还使用表面温度探头测量受累鹰嘴滑囊及对侧（对照）鹰嘴突的表面温度。我们比较了所有感染性和非感染性病例中患侧与对照侧的温度差。在非感染性病例中，平均表面温度差为0.7℃，而感染性病例为3.7℃。在所有感染性病例中，温度差为2.2℃或更高（范围为2.2℃至5.1℃；标准差为1.1）。使用表面探头温度差在区分感染性与非感染性病例方面的敏感性为100%，特异性为94%。在感染性和非感染性鹰嘴滑囊炎的早期鉴别中，它似乎比滑囊液白细胞计数、主要细胞类型或革兰氏染色更有帮助。
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