诊断学(发热)中英文版课件

1、Fever（发热）专业教研室 林宇复习旧课The bodys internal temperatureHypothalamus体温调节中枢-下丘脑Key words Fever 发 热 infectious fever 感染性发热 non-infectious fever 非感染性发热 moderate fever 中等度发热 ultra high fever 超 高 热 continued fever 稽 留 热 remittent fever 弛 张 热 intermittent fever 间 歇 热 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。1、Oral measurement 口测法(36.3-37.2) 2、Measurement of axillary temperature 腋测法 (36-37);3、Anal measurement 肛测法（36.5-37.7）Normal range of temperture 体温的正常范围 2

3、4h does not exceed 1 （24h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） The low-grade fever ：37.338moderate fever：38.139High fever：39.141Ultra high fever：41以上Classification 发热分度 （Oral measurement）

4、Rising period上升期 骤升 缓升The fever stage高热期Decline period下降期 骤降 缓降Clinical 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。Fever type 热型 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.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1. Cough, sputum, chest pain 呼吸系统疾病2.Nausea, vomiting, abdominal pain, diarrhea 急性胃肠炎.细菌性疾病等3.rash

6、麻疹、猩红热、水痘、风湿热等Accompanying symptoms 伴随症状Onset condition 起病情况Accompanying symptoms 伴随症状Diagnosis and treatment condition 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, pathogen