诊断学发热中英文.pptxVIP

第1页/共22页诊断学发热中英文第2页/共22页The bodys internal temperature复习旧课1.What does body temperature mean？2.Where is the thermotaxic center？Hypothalamus第3页/共22页体温调节中枢----下丘脑第4页/共22页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 热第5页/共22页Difinition 定义 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.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。第6页/共22页Normal range of temperture 体温的正常范围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℃）第7页/共22页Physiological fluctuations（生理性波动） 24h does not exceed 1 ℃（24h不超过1℃） Impact factors: Age Diurnal rhythm The movement,labor, dining, High temperature environment, Premenstrual etc..：第8页/共22页Classification of etiology 病因分类最常见1 Infectious fever感染性发热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。2 Non-infectious fever非感染性发热Hyperthyrea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)。第9页/共22页 Pathogenesis 发病机制 1. Pyrogen fever 致热源性发热 2. Non—pyrogen fever非致热源性发热第10页/共22页The low-grade fever ：37.3～38℃moderate fever：38.1～39℃Ultra high fever：41℃以上High fever：39.1～41℃ Classification 发热分度（Oral measurement）第11页/共22页Clinical period 临床分期 Rising period上升期 骤升 缓升The fever stage高热期Decline period下降期 骤降 缓降第12页/共22页 Fever type 热型 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。第13页/共22页 Fever type热型 Fever typecontinued fever稽留热continued fever稽留热irregular fever 不规则热remittent fever 弛张热remittent fever 弛张热undulant fever 波状热relapsing fever 回归热intermittent fever 间歇热第14页/共22页Continued fever 稽留热over39-40 ℃, lasting a few days or weeks,temperature fluctuations