Fujita K, Kawamura M
Department of Urology, National Medical Center Hospital, Tokyo, Japan.
Clin Ther. 1988;10 Spec No:27-31.
Transurethral prostatectomy was performed in 71 patients, whose body temperature and leukocyte count were recorded for four days. Twenty-four of the patients had a pre- or postoperative urinary tract infection. The fever index scores (temperature X hours) of both the infected and noninfected patients increased similarly on the day of surgery and postoperative day 1; the scores of the noninfected then decreased rapidly, while those of the infected declined gradually. There was a similar pattern in leukocyte counts. It is hypothesized that the fever associated with transurethral prostatectomy in noninfected patients is a swift reaction to bacteremia, which is promptly overcome; infected patients, who do not react as quickly, experience prolonged infection and fever.
对71例患者实施了经尿道前列腺切除术，并记录了他们四天的体温和白细胞计数。其中24例患者术前或术后发生了尿路感染。感染患者和未感染患者的发热指数评分（体温×小时数）在手术当天和术后第1天均有相似程度的升高；之后未感染患者的评分迅速下降，而感染患者的评分则逐渐下降。白细胞计数也呈现出类似的模式。据推测，未感染患者经尿道前列腺切除术后出现的发热是对菌血症的快速反应，且能迅速克服；而反应较慢的感染患者则会经历更长时间的感染和发热。
