Childs C
Regional Paediatric Burns Unit, Booth Hall Children's Hospital, Manchester, UK.
Burns Incl Therm Inj. 1988 Feb;14(1):1-6. doi: 10.1016/s0305-4179(98)90033-x.
The patterns of rectal temperature (Tr) and skin surface temperatures (Tthigh and Ttoe) of 40 children were studied during the first 48 h after burn injury. The patients' ages ranged from 5 months to 12 years and all required intravenous resuscitation. On admission Tr measured 2-6h after the burn, ranged from 36.5 to 39.0 degrees C and 19 children had temperatures greater than 37.5 degrees C; the upper limit of the normal range for healthy children. Patients 5-12 months old had the lowest Tr during the early period. During the first 12 h Tr rose rapidly and 27 patients (67 per cent) had a fever (Tr greater than 38.5 degrees C). In 10 children Tr was greater than 40.0 degrees C. There was no relationship between the rise in Tr and the sex of the patient, the ambient temperature, the size, site or type of burn. Age was the most important variable, particularly during the first 12 h, where a positive correlation between Tr and age occurred in patients aged 5-23 months (P less than 0.01, r = 0.53). Throughout the first 48 h Tr remained elevated. Tthigh closely followed the pattern of Tr, but Ttoe varied considerably, reflecting cardiovascular as well as thermoregulatory responses.
对40名儿童烧伤后最初48小时内的直肠温度（Tr）以及皮肤表面温度（大腿温度Tthigh和脚趾温度Ttoe）模式进行了研究。患者年龄从5个月至12岁不等，均需要静脉复苏。入院时，烧伤后2 - 6小时测量的Tr范围为36.5至39.0摄氏度，19名儿童体温高于37.5摄氏度，这是健康儿童正常范围的上限。5 - 12个月大的患者在早期Tr最低。在最初12小时内，Tr迅速上升，27名患者（67%）出现发热（Tr大于38.5摄氏度）。10名儿童的Tr大于40.0摄氏度。Tr的升高与患者性别、环境温度、烧伤面积、部位或类型无关。年龄是最重要的变量，尤其是在最初12小时内，5 - 23个月大的患者中Tr与年龄呈正相关（P小于0.01，r = 0.53）。在整个最初48小时内，Tr持续升高。大腿温度Tthigh紧密跟随Tr模式，但脚趾温度Ttoe变化较大，反映了心血管以及体温调节反应。
