Promjena tjelesne temperature kao znak komplikacije nakon kirurškog zahvata

master's thesis

• Author: Vjekoslav Samardžić
• Mentor: August Mijić (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2005, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

U suvremenoj kirurškoj praksi liječnik se često susreće s problemom postoperativnih groznica. Budući da se radi o promjenama koje mogu ugroziti život bolesnika, potrebno je dobro poznavati kiruršku problematiku tih stanja i adekvatan dijagnostičko-terapijski pristup. Često će nam u dijagnostici pomoći upravo vrijeme nastanka postoperativne groznice. Ako promjena tjelesne temperature nastaje za vrijeme kirurškog zahvata, trebalo bi posumnjati na transfuziju krvi pogrešne krvne grupe, intraoperativnu septikemiju ili malignu hipertermiju. Atelektaza će vrlo vjerojatno biti uzrok postoperativne groznice ukoliko je ona nastupila u prva 24 sata nakon operacije. Uzroci povišene tjelesne temperature koja je nastupila između 24 i 72 sata postoperativno najčešće su trombophlebitis, aspiracija želučane kiseline, apsces pluća, pneumonija ili aspiracijska pneumonija. Nakon trećeg dana poslije kirurškog zahvata uzroci postoperativne groznice obično su infekcija mokraćnih putova, infekcija rane, intraabbominalni apsces, tromboza dubokih vena ili plućna embolija. Nakon ispravne dijagnoze uzroka postoperativne groznice, pristupa se terapiji i otklanjanju tog uzroka.

Abstract (english)

Postoperative fever is a problem we often meet in surgical practise. Since this issue represents serious medical problem, it is necessary to deal with it in effective diagnostic and therapeutic way. Timing often helps in diagnostic effort. If fever starts
during surgical procedure the reason could be blood transfusion, intraoperative septicemia or malignant hyperthermia. Atelectasis is mainly cause of postoperative fever in first 24 postoperative hours. Cause of fever in 24-72 hour period is mainly
thrombophlebitis, gastric acid aspiration, lung abscess, pneumonia or aspiration pneumonia. After 3rd postoperative day, postoperative fever is caused by urinary tract infection, wound infection, intra-abdominal abscess, deepvein thrombosis or
pulmonary embolism. Corect diagnosis leeds to prompt therapy and elimination of cause.

• Keywords: postoperativne komplikacije; temperatura
• Keywords (english): Postoperative complications; Fever
• Language: croatian
• URN:NBN: urn:nbn:hr:127:901815
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-06-11 09:58:52