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兒童發燒處置建議 PowerPoint PPT Presentation


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兒童發燒處置建議. 台灣兒科醫學會 制定日期: 2004 年 10 月 16 日. 體溫的測量. 運動、長時間陽光照射、穿太多衣服等因素會提高體溫,除去這些因素並休息 15 至 30 分鐘後再測量。 各種測量方法 肛溫:測量值比較接近人體真正的中心體溫。 口溫:平均測量值低於中心體溫約 0.5 O C , 5 歲以上使用 耳溫:過多耳垢會干擾測量。三個月以下嬰兒,中耳炎或其他中耳異常者不建議量耳溫。 腋溫:平均測量值低於中心體溫約 0.8 O C 。新生兒常用 皮膚表面溫度:低估中心體溫的現象,不建議使用。 觸摸皮膚的方法判斷有無發燒, 準確度極差。.

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兒童發燒處置建議

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4702380

20041016


4702380

  • 1530

    • 0.5OC 5

    • 0.8OC


4702380

  • > 38OC

  • 37.5OC38OC


4702380

  • (set-point)

    • (thermoregulatory center) (hypothalamus)

  • (fever)

    • (macrophage)

  • (hyperthermia)

    • 38OC

    • (heat stroke)


4702380

    • (shivering)

  • (hyperthermia)


4702380

  • 36 (febrile convulsion)

  • 41OC


4702380

  • (hyperthermia)

  • 39C

  • 38C

    • (febrile convulsion)


4702380

  • (hypothermia blanket)

    • (heat stroke)(central feverhypothalamic fever) (hyperthermia)


4702380


Acetaminophen

-Acetaminophen

  • 10-15 mg/kg/dose q4~6h prn

  • 120-150 mg/kg


4702380

-

  • Ibuprofen510mg/kg/dose q6-8h prn

  • Diclofenac


Acetaminophen1

acetaminophen

  • acetaminophen4ibuprofen68

  • 63


Aspirin salicylate

-Aspirin(salicylate)

  • Aspirin(Reye syndrome)18

    • AspirinStinPediatric Stin

  • 18

    • choline magnesium trisalicylate choline salicylate lysine acetylsalicylate


4702380

  • Pyrazolonedipyrone (Sulpyrine)phenylbutazone


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