诊断学发热中英文

1、1.What does body temperature mean1.What does body temperature mean？ 复习旧课复习旧课 2.2.WhereWhere is the thermotaxic center is the thermotaxic center？ The bodys internal temperature Hypothalamus 体温调节中枢体温调节中枢-下丘脑下丘脑 Key words Fever 发发 热热 infectious fever 感染性发热感染性发热 non-infectious fever 非感染性发热非感染性发热 moderat

2、e fever 中等度发热中等度发热 ultra high fever 超超 高高 热热 continued fever 稽稽 留留 热热 remittent fever 弛弛 张张 热热 intermittent fever 间间 歇歇 热热 Fever is due to various reasons, so that the body heat production and heat balance, causes the body temperature to rise beyond the normal range. Difinition 定义定义 发热发热是由于各种原因使机体产热

3、和散热失衡，导致体温升高是由于各种原因使机体产热和散热失衡，导致体温升高 超出正常范围。超出正常范围。 1 1、Oral measurement Oral measurement 口测法口测法 (36.3-37.2)(36.3-37.2) 2 2、Measurement of Measurement of axillary temperatureaxillary temperature 腋测法腋测法 (36(36- -37);37); 3 3、Anal measurement Anal measurement 肛测法肛测法 （36.5-37.736.5-37.7） Normal range o

4、f temperture 体温的正常范围体温的正常范围 24h does not exceed 1 （24h不超过不超过1） Impact factors: Age Diurnal rhythm The movement,labor, dining, High temperature environment, Premenstrual etc.： Physiological fluctuations（生理性波动）（生理性波动） Classification of etiology 病因分类病因分类 Caused by a variety of pathogens各种各种病原体感染病原体感染引起

5、。引起。 Bacteria细菌细菌(43%)、virus病毒病毒(7%)、立克次体支原体、立克次体支原体、 螺旋体、真菌、寄生虫等。螺旋体、真菌、寄生虫等。 Infectious fever感染性发热感染性发热 Non-infectious fever非感染性发热非感染性发热 Hyperthyrea甲状腺功能亢进；甲状腺功能亢进； Thermoregulation dysfunction 体温调节中枢异；体温调节中枢异； Aseptic necrosis of material damage or necrosis 无菌性坏死物质损伤无菌性坏死物质损伤/坏死坏死(吸收热吸收热)。 最常见最常见

6、 1. Pyrogen fever 致热源性发热致热源性发热 2. Nonpyrogen fever 非致热源性发热非致热源性发热 Pathogenesis 发病机制发病机制 The low-grade fever ：37.338 moderate fever：38.139 High fever：39.141 Ultra high fever：41以上以上 Classification 发热分度发热分度 （ vRising period上升期上升期 骤升骤升 缓升缓升 vThe fever stage高热期高热期 vDecline period下降期下降期 骤降骤降 缓降缓降 Clinical

7、 period 临床分期 Connect all the temperature records at different time into a line，this line is called fever type. 将不同时间点测量的体温用直线连接，形成的曲线即为热型将不同时间点测量的体温用直线连接，形成的曲线即为热型。 Fever type 热型热型 undulant fever 波状热波状热 Fever type intermittent fever 间歇热间歇热 relapsing fever 回归热回归热 continued fever 稽留热稽留热 remittent feve

8、r 弛张热弛张热 Fever type热型热型 irregular fever 不规则热不规则热 continued fever 稽留热稽留热 remittent fever 弛张热弛张热 over39-40 , lasting a few days or weeks,temperature fluctuations will not be more than 1 in 24 hours. 39-40 39-40 以上，持续数天或数周，以上，持续数天或数周，2424小时体温波动不超过小时体温波动不超过1 1 。如大叶。如大叶 性肺炎、伤寒等性肺炎、伤寒等 Continued fever 稽留热

9、稽留热 More than 39 , temperature fluctuations will be more than 2 in 24 hours, but also more than 37 . 39 39 以上以上,24,24小时波动范围超过小时波动范围超过2 2 ，但在，但在37 37 以上。常见于败血症、风以上。常见于败血症、风 湿热、重症肺结核及化脓性炎症。湿热、重症肺结核及化脓性炎症。 Remittent fever 弛张热弛张热 The temperature soared after reaching its peak lasting several hours, then

10、 dropped to normal level, after several hours or days intermission, temperature rise suddenly, such repeated alternation. 体温骤升达高峰后持续数小时，又骤降至正常水平，经数小时或数天间歇后，体温骤升达高峰后持续数小时，又骤降至正常水平，经数小时或数天间歇后， 体温再次突然升高，如此反复交替。见于疟疾、急性肾盂肾炎等。体温再次突然升高，如此反复交替。见于疟疾、急性肾盂肾炎等。 Intermittent fever间歇热间歇热 1. 1. Cough, sputum, ches

11、t pain Cough, sputum, chest pain 呼吸系统疾病呼吸系统疾病 2.Nausea, vomiting, abdominal pain, diarrhea2.Nausea, vomiting, abdominal pain, diarrhea 急性胃肠炎急性胃肠炎. .细菌性疾病等细菌性疾病等 3.3.rashrash 麻疹、猩红热、水痘、风湿热等麻疹、猩红热、水痘、风湿热等 Accompanying symptoms 伴随症状伴随症状 v Onset condition 起病情况起病情况 v Accompanying symptoms 伴随症状伴随症状 v Diag

12、nosis and treatment condition 诊治情况诊治情况 v other condition 其他情况其他情况 Interrogation points 问诊要点问诊要点 Summrize 总结总结 Master 掌握掌握 Definition of fever, normal body temperature, classification of fever, clinical significance of the common fever type Acquaintance 熟悉熟悉 The causes of fever, pathogenesis, and int

13、errogation points Comprehend 了解了解 Clinical course of fever and the accompanying symptoms 1、Is it right to take an antiphlogistic needle with a fever? 2、The classification of fever？ 3、 What is the difference between the intermittent fever and relapsing fever ？ Questions The low-grade fever ：37.338 mo

14、derate fever：38.139 High fever：39.141 Ultra high fever：41以上以上 Classification 发热分度发热分度 （ Connect all the temperature records at different time into a line，this line is called fever type. 将不同时间点测量的体温用直线连接，形成的曲线即为热型将不同时间点测量的体温用直线连接，形成的曲线即为热型。 Fever type 热型热型 over39-40 , lasting a few days or weeks,temp

15、erature fluctuations will not be more than 1 in 24 hours. 39-40 39-40 以上，持续数天或数周，以上，持续数天或数周，2424小时体温波动不超过小时体温波动不超过1 1 。如大叶。如大叶 性肺炎、伤寒等性肺炎、伤寒等 Continued fever 稽留热稽留热 The temperature soared after reaching its peak lasting several hours, then dropped to normal level, after several hours or days intermi

16、ssion, temperature rise suddenly, such repeated alternation. 体温骤升达高峰后持续数小时，又骤降至正常水平，经数小时或数天间歇后，体温骤升达高峰后持续数小时，又骤降至正常水平，经数小时或数天间歇后， 体温再次突然升高，如此反复交替。见于疟疾、急性肾盂肾炎等。体温再次突然升高，如此反复交替。见于疟疾、急性肾盂肾炎等。 Intermittent fever间歇热间歇热 1. 1. Cough, sputum, chest pain Cough, sputum, chest pain 呼吸系统疾病呼吸系统疾病 2.Nausea, vomiting, abdominal pain, diarrhea2.Nausea, vomiting, abdominal pain, diarrhea 急性胃肠炎急性胃肠炎. .细菌性疾病等细菌性疾