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发热幼儿的风险分层与管理

Risk stratification and management of the febrile young child.

作者信息

Ishimine Paul

机构信息

Emergency Medicine, University of California, San Diego, UC San Diego Health System, 200 West Arbor Drive, #8676, San Diego, CA 92103-8676, USA.

出版信息

Emerg Med Clin North Am. 2013 Aug;31(3):601-26. doi: 10.1016/j.emc.2013.05.003. Epub 2013 Jul 5.

Abstract

Febrile young children present frequently to the emergency department. While most febrile children recover uneventfully, certain subgroups are at higher risk of serious infection. Febrile neonates require extensive diagnostic testing, antibiotic therapy, and hospital admission. Diagnostic testing can be utilized in older patients to identify children at low risk and high risk for serious infection. This information may assist in determining the treatment and disposition of these febrile children.

摘要

发热的幼儿经常前往急诊科就诊。虽然大多数发热儿童能顺利康复,但某些亚组发生严重感染的风险较高。发热的新生儿需要进行广泛的诊断检查、抗生素治疗和住院治疗。对于年龄较大的患者,可以利用诊断检查来识别发生严重感染低风险和高风险的儿童。这些信息可能有助于确定这些发热儿童的治疗和处置方式。

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