血肿作为胫骨骨折后发热及炎症反应的一个原因。
Hematoma as a cause of a febrile and inflammatory response after tibial fractures.
作者信息
Adams Steven H, Myszewski Jennifer
机构信息
College of Medicine, State University of New York Upstate Medical University, Syracuse, New York.
Department of Pediatrics, Upstate University Hospital and Golisano Children's Hospital, Syracuse, New York.
出版信息
Proc (Bayl Univ Med Cent). 2020 Jul 10;33(4):677-678. doi: 10.1080/08998280.2020.1783750.
After incurring bilateral tibial fractures and developing sizable hematomas at the trauma sites, a child experienced 4 days of fever with an elevated C-reactive protein level and sedimentation rate. As thrombotic and infectious etiologies were ruled out, the patient's febrile and inflammatory response was likely attributable to hematoma formation. Hematomas are a recognized cause of noninfectious fever. Local release of pyrogenic cytokines within the hematoma may be the source for elevation in temperature and inflammatory markers.
一名儿童双侧胫骨骨折并在创伤部位形成大量血肿后，出现了4天的发热，C反应蛋白水平和血沉率升高。由于排除了血栓形成和感染性病因，患者的发热和炎症反应可能归因于血肿形成。血肿是非感染性发热的一个公认原因。血肿内致热细胞因子的局部释放可能是体温和炎症标志物升高的原因。
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