수술 후 발열에 대한 고찰

원인에 따른 수술 후 발열의 분류

Infectious—Surgery

• Wound infection

• Intra-abdominal abscess

• Leaking anastomosis with peritonitis

• Infected prosthetic material

• Acute cholecystitis

• Transfusion-related infection

• Pheochromocytoma

 

Infectious—Not Surgery Related

• Pneumonia

• Urinary tract infection

• Infected hematoma

• Systemic bacteremia

• Clostridium difficile enterocolotis

• Pharyngitis

 

Related—non-infectious

• Atelectasis

• Medications (anesthesia or other)

• Thrombophlebitis

• Adrenal insufficiency

• Drug fever

• Malignancy

• Pulmonary embolus

• Deep vein thrombosis

• Myocardial infarction

• Thyrotoxicosis

 

시기로 분류한 수술 후 발열의 원인

Day One—Local causes

• Atelectasis

• Wound cellulitis

• Urinary tract infection

• Indwelling catheter infection

• Transfusion reaction

• Drug fever
• Thrombophlebitis

• Surgical complications

 

Day Two—Respiratory/Catheter causes

• Pneumonia

• Urinary tract infection

• Wound cellulitis

• Necrotizing fasciitis or clostridial myositis

 

Day Three—Systemic causes

• Thrombophlebitis

• Deep vein thrombosis

• Wound infection

• Cholecystitis

• Pancreatitis

• Systemic bacteremia/fungemia/viremia

 

Day Seven and on—Surgical complications, undiagnosed disease

• Leaking anastomosis

• Infected prosthetic material

• Deep wound infection

• Abscess

• Deep vein thrombosis or thrombophlebitis

• Clostridium difficile diarrhea

• Collagen/Vascular disease

• Occult bacteremia

• Neoplasm


※ 참고문헌 : http://www.stacommunications.com/journals/cme/2004/May/PDF/093.pdf