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相關文獻
- 肝硬化病人發燒原因之探討
- Spontaneous Bacterial Peritonitis in Adult Patients with Primary Nephrotic Syndrome
- 成年肝硬化病患之腹水控制原則
- 肝硬化患者的自發性細菌性腹膜炎
- 自發性細菌性腹膜炎
- Risk Factors for Spontaneous Bacterial Empyema in Cirrhotic Patients with Hydrothorax
- Serum and Ascitic Concentration of C3, C4 and Protein in Cirrhotic Patients with Spontaneous Bacterial Peritonitis
- Spontaneous Bacterial Peritonitis--With Emphasis on Predisposing and Prognostic Factors
- 自發性細菌性腹膜炎近貌
- 自發性細菌性腹膜炎之早期診斷
頁籤選單縮合
題 名 | 肝硬化病人發燒原因之探討=The Study of Fever in Cirrhosis of Liver |
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作 者 | 黃崇誠; 樓震平; 鄭勝雄; | 書刊名 | 國防醫學 |
卷 期 | 31:6 2000.12[民89.12] |
頁 次 | 頁716-722 |
分類號 | 415.534 |
關鍵詞 | 肝硬化熱; 肝硬化感染性發燒; 內源性致熱因子; 自發性細菌性腹膜炎; Cirrhotic fever; Infective fever in cirrhosis; Endogenous pyrogen spontaneous bacterial peritonitis; |
語 文 | 中文(Chinese) |
中文摘要 | 肝硬化的病人,常合併感染而引起發燒現象。但是約有百分之二十肝硬化合併發燒的病人,卻找不出引起發燒的原因。近年來研究發現,肝硬化病人血液中的一些內源性致熱因子濃度,比一般無肝硬化的病人高,因此肝硬化疾病本身,就可能導致病人有發燒的現象,即肝硬化熱,已獲得一定程度的肯定。肝硬化合併感染的病人,常見的二個原因為肺炎和自發性細菌性腹膜炎。這個因感染引起發燒的病人需要早期投予抗生素治療,但是因肝硬化疾病本身引起的發燒現象,卻不需要任何抗生素治療,且癒後與抗生素的使用是無關的。因此,如何區分肝硬化合併發燒的病人,是感染性發燒或肝硬化熱,是值得我們深入研究,以避免抗生素過度使用。 |
英文摘要 | For cirrhotic patient, infection is common as a result of deficiency of immunity. Fever is usually developed in cirrhotic patient. But for about 20% of cirrhotic patients with fever could not find the identifiable source of fever or infection for the fever. Recent research has found that some endogenous pyrogens in the blood of cirrhotic patient are higher than non-cirrhotic patient. More people believe that cirrhosis itself could lead patient to develop fever. Thus, fever in up to 20% of the febrile patients with cirrhosis may be contributed to cirrhosis itself. More studies are toward the conclusion that cirrhotic fever is a true clinical entity. The common causes of cirrhotic patient with infection are pneumonia and spontaneous bacterial peritonitis. For those cirrhotic patients with fever due to microbiological infection, antibiotic should be treated in early stage. However, antibiotic need not be administrated in cirrhotic fever. And prognosis is no difference whether antibiotic is treated or not. Therefore, how to distinguish infective fever in cirrhosis and cirrhotic fever is worthy of extensive research in order that we avoid the overuse of antibiotics. |
本系統中英文摘要資訊取自各篇刊載內容。