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感染后发烧是疾病的一部分还是治愈的表现?

Is fever after infection part of the illness or the cure?

作者信息

Gardner Jon

机构信息

Queen Elizabeth Hospital, King's Lynn, Norfolk.

出版信息

Emerg Nurse. 2012 Mar;19(10):20-5; quiz 27. doi: 10.7748/en2012.03.19.10.20.c8992.

DOI:10.7748/en2012.03.19.10.20.c8992
PMID:22519079
Abstract

An increase in temperature above the normal range of 35.6 degrees C-38.2 degrees C (Ryan and Levy 2003) can indicate the presence of infection or sepsis. When the body detects infection, a series of responses to control infection are initiated that result in a rise in systemic temperature. Research suggests that this rise in temperature can be regarded as a cure, in that it is part of the autonomic response to remove infection and create a favourable environment for antibiotics. Nevertheless, it remains common practice to try to reduce fever with medication and physical cooling methods. This article explores the physiological changes that occur during bacterial sepsis that result in increased temperature, and discusses the pros and cons of administering antipyretic medication. The aim is to enable nurses to understand and support patients who present with fever.

摘要

体温升高超过35.6摄氏度至38.2摄氏度的正常范围(瑞安和利维,2003年)可能表明存在感染或脓毒症。当身体检测到感染时,会启动一系列控制感染的反应,导致全身温度升高。研究表明,这种体温升高可被视为一种治愈方式,因为它是自主反应的一部分,旨在清除感染并为抗生素创造有利环境。然而,使用药物和物理降温方法来降低发热仍然是常见的做法。本文探讨了细菌脓毒症期间导致体温升高的生理变化,并讨论了使用退烧药的利弊。目的是使护士能够理解并支持发热的患者。

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J Biomed Semantics. 2012 Dec 20;3(1):18. doi: 10.1186/2041-1480-3-18.