诊断学(发热)中英文版培训

1、诊断学(发热)中英文版复习旧课The bodys internal temperatureHypothalamus体温调节中枢-下丘脑 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 定义发热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。 24h does not exceed 1 （24h不超过1） Impact fa

2、ctors: Age Diurnal rhythm The movement,labor, dining, High temperature environment, Premenstrual etc.：Physiological fluctuations（生理性波动） Classification of etiology 病因分类Caused by a variety of pathogens各种病原体感染引起。Bacteria细菌(43%)、virus病毒(7%)、立克次体支原体、螺旋体、真菌、寄生虫等。 Infectious fever感染性发热1 Non-infectious feve

3、r非感染性发热2Hyperthyrea甲状腺功能亢进；Thermoregulation dysfunction 体温调节中枢异；Aseptic necrosis of material damage or necrosis 无菌性坏死物质损伤/坏死(吸收热)。最常见The low-grade fever ：37.338moderate fever：38.139High fever：39.141Ultra high fever：41以上Classification 发热分度 （Oral measurement）Rising period上升期 骤升 缓升The fever stage高热期Dec

4、line period下降期 骤降 缓降Clinical period 临床分期 undulant fever 波状热Fever typeintermittent fever 间歇热relapsing fever 回归热continued fever稽留热remittent fever 弛张热 Fever type热型irregular fever 不规则热continued fever稽留热remittent fever 弛张热over39-40 , lasting a few days or weeks,temperature fluctuations will not be more t

5、han 1 in 24 hours. 39-40 以上，持续数天或数周，24小时体温波动不超过1 。如大叶性肺炎、伤寒等Continued fever 稽留热More than 39 , temperature fluctuations will be more than 2 in 24 hours, but also more than 37 .39 以上,24小时波动范围超过2 ，但在37 以上。常见于败血症、风湿热、重症肺结核及化脓性炎症。Remittent fever 弛张热 The temperature soared after reaching its peak lasting

6、several hours, then 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Onset condition 起病情况Accompanying symptoms 伴随症状Diagnosis and treatment condit

7、ion 诊治情况other condition 其他情况Interrogation points 问诊要点Summrize 总结 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, pathogenesis, and interrogation pointsComprehend 了解Clinical course of fever and the accompanying symptoms1、Is it right to take an antiphlogistic needle with a fever?2、The