診斷學(發(fā)熱)中英文版課件

1、Fever（發(fā)熱）專業(yè)教研室 林宇復習舊課The bodys internal temperatureHypothalamus體溫調(diào)節(jié)中樞-下丘腦Key words Fever 發(fā) 熱 infectious fever 感染性發(fā)熱 non-infectious fever 非感染性發(fā)熱 moderate fever 中等度發(fā)熱 ultra high fever 超 高 熱 continued fever 稽 留 熱 remittent fever 弛 張 熱 intermittent fever 間 歇 熱 Fever is due to various reasons, so that th

2、e body heat production and heat balance, causes the body temperature to rise beyond the normal range.Difinition 定義發(fā)熱是由于各種原因使機體產(chǎn)熱和散熱失衡，導致體溫升高超出正常范圍。1、Oral measurement 口測法(36.3-37.2) 2、Measurement of axillary temperature 腋測法 (36-37);3、Anal measurement 肛測法（36.5-37.7）Normal range of temperture 體溫的正常范圍 2

3、4h does not exceed 1 （24h不超過1） Impact factors: Age Diurnal rhythm The movement,labor, dining, High temperature environment, Premenstrual etc.：Physiological fluctuations（生理性波動） The low-grade fever ：37.338moderate fever：38.139High fever：39.141Ultra high fever：41以上Classification 發(fā)熱分度 （Oral measurement）

4、Rising period上升期 驟升 緩升The fever stage高熱期Decline period下降期 驟降 緩降Clinical period 臨床分期 Connect all the temperature records at different time into a line，this line is called fever type.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。Fever type 熱型 The temperature soared after reaching its peak lasting several hours, then dro

5、pped to normal level, after several hours or days intermission, temperature rise suddenly, such repeated alternation.體溫驟升達高峰后持續(xù)數(shù)小時，又驟降至正常水平，經(jīng)數(shù)小時或數(shù)天間歇后，體溫再次突然升高，如此反復交替。見于瘧疾、急性腎盂腎炎等。Intermittent fever間歇熱1. Cough, sputum, chest pain 呼吸系統(tǒng)疾病2.Nausea, vomiting, abdominal pain, diarrhea 急性胃腸炎.細菌性疾病等3.rash

6、麻疹、猩紅熱、水痘、風濕熱等Accompanying symptoms 伴隨癥狀Onset condition 起病情況Accompanying symptoms 伴隨癥狀Diagnosis and treatment condition 診治情況other condition 其他情況Interrogation points 問診要點Summrize 總結 Master 掌握 Definition of fever, normal body temperature, classification of fever, clinical significance of the common fever typeAcquaintance 熟悉The causes of fever, pathogen