診斷學(xué)(發(fā)熱)中英文版課件

Fever（發(fā)熱）復(fù)習(xí)舊課Thebody'sinternaltemperatureHypothalamusKeywords

Fever

發(fā)熱

infectiousfever

感染性發(fā)熱

non-infectiousfever

非感染性發(fā)熱

moderatefever

中等度發(fā)熱

ultrahighfever

超高熱

continuedfever

稽留熱

remittentfever

弛張熱

intermittentfever

間歇熱1、Oralmeasurement口測法(36.3-37.2℃)

2、Measurementofaxillarytemperature腋測法(36-37℃);3、Analmeasurement肛測法（36.5-37.7℃）Normalrangeoftemperture體溫的正常范圍

24hdoesnotexceed1℃（24h不超過1℃）

Impactfactors:

AgeDiurnalrhythm

Themovement,labor,dining,Hightemperatureenvironment,Premenstrualetc..：Physiologicalfluctuations（生理性波動）Classificationofetiology病因分類Causedbyavarietyofpathogens各種病原體感染引起。Bacteria細(xì)菌(43%)、virus病毒(7%)、立克次體支原體、螺旋體、真菌、寄生蟲等。

Infectiousfever感染性發(fā)熱1Non-infectiousfever非感染性發(fā)熱2Hyperthyrea甲狀腺功能亢進(jìn)；Thermoregulationdysfunction體溫調(diào)節(jié)中樞異；Asepticnecrosisofmaterialdamageornecrosis無菌性壞死物質(zhì)損傷/壞死(吸收熱)。最常見1.Pyrogenfever

致熱源性發(fā)熱

2.Non—pyrogenfever非致熱源性發(fā)熱

Pathogenesis發(fā)病機制

Risingperiod上升期

驟升緩升Thefeverstage高熱期Declineperiod下降期驟降緩降Clinicalperiod臨床分期

Connectallthetemperaturerecordsatdifferenttimeintoaline，thislineiscalledfevertype.將不同時間點測量的體溫用直線連接，形成的曲線即為熱型。

Fevertype熱型

undulantfever波狀熱Fevertypeintermittentfever間歇熱relapsingfever回歸熱continuedfever稽留熱remittentfever弛張熱

Fevertype熱型irregularfever不規(guī)則熱continuedfever稽留熱remittentfever弛張熱over39-40℃,lastingafewdaysorweeks,temperaturefluctuationswillnotbemorethan1℃in24hours.39-40℃以上，持續(xù)數(shù)天或數(shù)周，24小時體溫波動不超過1℃。如大葉性肺炎、傷寒等Continuedfever稽留熱Morethan39℃,temperaturefluctuationswillbemorethan2℃in24hours,butalsomorethan37℃.39℃以上,24小時波動范圍超過2℃，但在37℃以上。常見于敗血癥、風(fēng)濕熱、重癥肺結(jié)核及化膿性炎癥。Remittentfever弛張熱1.Cough,sputum,chestpain呼吸系統(tǒng)疾病2.Nausea,vomiting,abdominalpain,diarrhea

急性胃腸炎.細(xì)菌性疾病等3.rash麻疹、猩紅熱、水痘、風(fēng)濕熱等Accompanyingsymptoms伴隨癥狀Onsetcondition起病情況Accompanyingsymptoms伴隨癥狀Diagnosisandtreatmentcondition診治情況othercondition其他情況Interrogationpoints問診要點Summrize總結(jié)

Master掌握Definitionoffever,normalbodytemperature,classificationoffever,clinicalsignificanceofthecommonfevertypeAcquaintance熟悉Thecausesoffever,pathogenesis,andinterrogationpointsComprehend了解Clinicalcourseoffeverandtheaccompanyingsymptoms1、Isitrighttotakeanantiphlogistic