Fever（發熱）專業教研室林宇復習舊課Thebody'sinternaltemperatureHypothalamus體溫調節中樞----下丘腦Keywords

Fever

發熱

infectiousfever

感染性發熱

non-infectiousfever

非感染性發熱

moderatefever

中等度發熱

ultrahighfever

超高熱

continuedfever

稽留熱

remittentfever

弛張熱

intermittentfever

間歇熱

Fever

isduetovariousreasons,sothatthebodyheatproductionandheatbalance,causesthebodytemperaturetorisebeyondthenormalrange.Difinition定義發熱是由于各種原因使機體產熱和散熱失衡，導致體溫升高超出正常范圍。1、Oralmeasurement口測法(36.3-37.2℃)

2、Measurementofaxillarytemperature腋測法(36-37℃);3、Analmeasurement肛測法（36.5-37.7℃）Normalrangeoftemperture體溫的正常范圍

24hdoesnotexceed1℃（24h不超過1℃）

Impactfactors:

AgeDiurnalrhythm

Themovement,labor,dining,Hightemperatureenvironment,Premenstrualetc..：Physiologicalfluctuations（生理性波動）Classificationofetiology病因分類Causedbyavarietyofpathogens各種病原體感染引起。Bacteria細菌(43%)、virus病毒(7%)、立克次體支原體、螺旋體、真菌、寄生蟲等。

Infectiousfever感染性發熱1Non-infectiousfever非感染性發熱2Hyperthyrea甲狀腺功能亢進；Thermoregulationdysfunction體溫調節中樞異；Asepticnecrosisofmaterialdamageornecrosis無菌性壞死物質損傷/壞死(吸收熱)。最常見1.Pyrogenfever

致熱源性發熱

2.Non—pyrogenfever非致熱源性發熱

Pathogenesis發病機制

Thelow-gradefever：37.3～38℃moderatefever：38.1～39℃Highfever：39.1～41℃Ultrahighfever：41℃以上

Classification發熱分度（Oralmeasurement）Risingperiod上升期

驟升緩升Thefeverstage高熱期Declineperiod下降期驟降緩降Clinicalperiod臨床分期

Connectallthetemperaturerecordsatdifferenttimeintoaline，thislineiscalledfevertype.將不同時間點測量的體溫用直線連接，形成的曲線即為熱型。

Fevertype熱型

undulantfever波狀熱Fevertypeintermittentfever間歇熱relapsingfever回歸熱continuedfeve