SMU发热pbl_培训课件.ppt

发热持续3周以上，体温在38.5 ℃以上，经详细询问病史、体格检查和常规实验室检查仍不能明确诊断者 一旦热型被记录在案，可用非甾体类抗炎药。 只有当感染已被排除，方可使用糖皮质激素 患者仅以发热为主诉。 FUO（Fever?of?Unknown?Origin ） . 3周38.3℃ + 病因 问诊、体格检查、实验室检查…… fail 用药 禁止经验性用抗生素 解热 热型→非甾体类解热药 类固醇类解热药 宿舍 * 感染性疾病 * 恶性疾病 * 结缔组织 * 炎性血管疾病 * 其他疾病 分 诊 FUO 发热持续3周以上，经详细询问病史,体格检查和常规实验室检查仍不能明确诊断者 断 类 * 组织活检 * 反复涂片 * 诊断性治疗 高热惊厥 病因 临床表现 治疗 多由上呼吸道感染引起 两眼斜视、凝视或上翻，局部或全身出现肌肉抽搐 ①确保患者呼吸道畅通、②及时解痉 ③尽快降温并高浓度吸氧 ④迅速建立多条静脉通道 To reproduce the text effects on this slide, do the following: On the Home tab, in the Slides group, click Layout, and then click Blank. On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw a text box that spans the entire width of the slide. On the Insert tab, in the Text group, click Symbol. In the Symbol dialog box, do the following: In the Font list, select (normal text). In the Subset list, select General Punctuation. In the Character Code box, enter 2022 to select BULLET, and then click Insert. Click Insert 33 more times until there is a row of 34 bullets in the text box. In the text box, select the text, and then on the Home tab, in the Font group do the following: In the Font list, select Arial Black. In the Font Size list, select 44. Click the arrow next to Font Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align to Slide. Click Align Center. Click Align Middle. On the Insert tab, in the Text group, click Text Box. Drag to draw a text box on the slide. Enter and select the text. On the Home tab, in the Font group, do the following: In the Font list, select Corbel. In the Font Size box, enter 50. Click the arrow next to Font Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). Click Bold. With the text still selected, on the Home tab, in the Paragraph group, click Center. Select the second text box. On the