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| Analysis on the causes of fever in children under elective surgery and its countermeasures |
| WANG Ling WANG Ning▲ LI Xiaojie |
| Department of Pediatric Surgery, PLA General Hospital, Beijing 100853, China |
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Abstract Objective To investigate and analyze the causes of fever in children under elective surgery and its countermeasures. Methods Two hundred children underwent elective surgery in Department of Pediatric Surgery of Chinese PLA General Hospital from January 2014 to July 2016 were selected and randomly divided into the experimental group and the control group, with 100 patients in each group. The control group received routine preoperative preparation. In addition to routine preoperative preparation, the experimental group was given preoperative fluid replacement. The gender, categories of disease, age, height and weight were analyzed between the two groups, and the results of average body temperature, average hospitalization time and fever conditions of the two groups were analyzed with statistics. Results There were no significant differences of the gender, categories of disease, age, height and weight between the two groups (P ＞ 0.05). There were significant differences of average body temperature and average hospitalization time between the two groups (P ＜ 0.05). There were 10 cases (10%) of fever in the control group and 1 case (1%) of fever in the experimental group, the incidence of fever in the experimental group was significantly lower than that of the control group (χ2=7.792, P ＜ 0.05). At the same time, one case of fever in the experimental group was 8 months old. Among the 10 febrile children of control group, 4 cases of them were in the 0-12 months, 3 cases were in the ＞12-48 months range, 2 cases were in the ＞48-84 months range and 1 case was in the ＞84-168 months range, which showed that the younger were more prone to fever. Conclusion Preoperative intravenous fluid replacement for the prevention of elective surgery in children with fever has important clinical significance.
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