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小儿发热的诊断和处理

Chinese Journal of General Practice(2014)

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Abstract
体温超过正常范围称为发热.腋下测5 min,36.0 ~37.0℃为正常体温.当体温达37.4℃,全身情况良好,则不认为是病态.当腋温37.5~ 38.0℃为低热,38.0 ~38.9℃为中度发热,39.0 ~41.0℃为高热,≥41.0℃为超高热.发热是小儿临床最常见的症状,最常见于感染,也可见于非感染性疾病.发热是保护性反应,但持续高热也能对患儿造成损害,甚至死亡.所以,对发热的患儿要给予适当降温处理,尤其高热持续不退的患儿,更应采取有力措施,使高热适当降低,以保护患儿.
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