1、會(huì)計(jì)學(xué)1診斷學(xué)發(fā)熱中英文診斷學(xué)發(fā)熱中英文1.What does body temperature mean1.What does body temperature mean？復(fù)習(xí)舊課2.2.WhereWhere is the thermotaxic center is the thermotaxic center？The bodys internal temperatureHypothalamus體溫調(diào)節(jié)中樞-下丘腦Key words Fever 發(fā)發(fā) 熱熱 infectious fever 感染性發(fā)熱感染性發(fā)熱 non-infectious fever 非感染性發(fā)熱非感染性發(fā)熱 modera

2、te fever 中等度發(fā)熱中等度發(fā)熱 ultra high fever 超超 高高 熱熱 continued fever 稽稽 留留 熱熱 remittent fever 弛弛 張張 熱熱 intermittent fever 間間 歇歇 熱熱Difinition 定義發(fā)熱是由于各種原因使機(jī)體產(chǎn)熱和散熱失衡，導(dǎo)致體溫升高超出正常范圍。1、Oral measurement 口測(cè)法(36.3-37.2) 2、Measurement of axillary temperature 腋測(cè)法 (36-37);3、Anal measurement 肛測(cè)法（36.5-37.7）Normal range o

3、f temperture 體溫的正常范圍體溫的正常范圍Physiological fluctuations（生理性波動(dòng)） Caused by a variety of pathogens各種各種病原體感染病原體感染引起。引起。Bacteria細(xì)菌細(xì)菌(43%)、virus病毒病毒(7%)、立克次體支原體、立克次體支原體、螺旋體、真菌、寄生蟲等。螺旋體、真菌、寄生蟲等。 Infectious fever感染性發(fā)熱 Non-infectious fever非感染性發(fā)熱Hyperthyrea甲狀腺功能亢進(jìn)；Thermoregulation dysfunction 體溫調(diào)節(jié)中樞異；Aseptic ne

4、crosis of material damage or necrosis 無菌性壞死物質(zhì)損傷/壞死(吸收熱)。最常見Pathogenesis 發(fā)病機(jī)制 The low-grade fever ：37.338moderate fever：38.139High fever：39.141Ultra high fever：41以上以上Classification 發(fā)熱分度 （Clinical period 臨床分期 Connect all the temperature records at different time into a line，this line is called fever t

5、ype.將不同時(shí)間點(diǎn)測(cè)量的體溫用直線連接，形成的曲線即為熱型將不同時(shí)間點(diǎn)測(cè)量的體溫用直線連接，形成的曲線即為熱型。Fever type 熱型 undulant fever 波狀熱波狀熱Fever typeintermittent fever 間歇熱間歇熱relapsing fever 回歸熱回歸熱continued fever稽留熱稽留熱remittent fever 弛張熱弛張熱 Fever type熱型irregular fever 不規(guī)則熱continued fever稽留熱稽留熱remittent fever 弛張熱弛張熱Continued fever 稽留熱Remittent fev

6、er 弛張熱Intermittent fever間歇熱Accompanying symptoms 伴隨癥狀Summrize 總結(jié) Master 掌握掌握 Definition of fever, normal body temperature, classification of fever, clinical significance of the common fever typeAcquaintance 熟悉熟悉The causes of fever, pathogenesis, and interrogation pointsComprehend 了解了解Clinical course

7、 of fever and the accompanying symptoms1、Is it right to take an antiphlogistic needle with a fever?2、The classification of fever？3、 What is the difference between the intermittent fever and relapsing fever ？QuestionsThe low-grade fever ：37.338moderate fever：38.139High fever：39.141Ultra high fever：41

8、以上以上Classification 發(fā)熱分度 （ Connect all the temperature records at different time into a line，this line is called fever type.將不同時(shí)間點(diǎn)測(cè)量的體溫用直線連接，形成的曲線即為熱型將不同時(shí)間點(diǎn)測(cè)量的體溫用直線連接，形成的曲線即為熱型。Fever type 熱型 Continued fever 稽留熱Intermittent fever間歇熱Accompanying symptoms 伴隨癥狀1、Is it right to take an antiphlogistic needle with