儿童发热在基层医疗卫生机构的规范化诊治

The Standardized Diagnosis and Treatment of Children’s Fever in Primary Health Care Institutions

发热是多种疾病的临床表现之一,儿童发热在基层医疗卫生机构更是常见。本文通过复习国内外文献总结归纳了儿童发热的病情特点和评估内容,并指出病因治疗是根本,在降温措施方面目前不推荐使用物理降温,用于缓解患儿因发热所致不适的退热药物推荐对乙酰氨基酚或布洛芬。此文意在引导基层医务人员规范化处理儿童发热。

Fever is one of the clinical manifestations of many diseases,and fever in children is more common in primary health care institutions.By reviewing relevant literature at home and abroad,this article summarizes the characteristics and assessment contents of fever in children,and points out that the etiological treatment is fundamental.It is not recommended to use physical methods to lower the temperature,and antipyretic drugs,such as paracetamol or ibuprofen,are recommended to relieve the discomfort of children caused by fever.This article aims to guide general practitioners to standardize the treatment of children’s fever in primary health care institutions.