关于发烧，美国排名最前的医院怎么说：梅奥，Johns Hopkins, Cleveland, Boston Children'

来源: 志在千里于 2014-07-17 07:17:05 [档案] [旧帖] [给我悄悄话] 本文已被阅读：次 (11237 bytes)

工作的医院（也是best hospital）的网上图书馆一直把孩子发烧定义为 “temperature is 100.4 degrees Fahrenheit or higher”，成人部门则找不到关于发烧的信息. 知道医院没有自己的写手，是抄来的。有点好奇其他顶级医院是这么写的。
排名第一的梅奥还是把37 C加减作为正常体温。超过为不正常。那是他们的原创。 Cleveland Clinic 是差不多的意思。 Johns Hopkins childrens 则把正常体温定义为一个区段。超过为不正常。但说“Pediatricians do not consider a fever significant unless it rises above 100.4°”. 麻州General则找不到这方面的信息(只用了几秒钟找，抱歉！）。以上医院都有成人部。

相比之下，波士顿儿童医院则把100.4 degrees Fahrenheit or higher定义为发热. 他们当然没有成人部。

成人有低烧结果不好的比小孩多，见过两个成人病人都只有长期低热（《100.4 degrees Fahrenheit》，结果一人查出癌症，一人是自身免疫病。。。可能这就是为什么梅奥很小心说话的原因吧。另外，梅奥大概也没有看那么多令人头疼的小孩，标准宽一点小病人多一点对医院的财经也无妨吧。

因为很多小医院和私人诊所把梅奥的东西当guildline，所以我们碰到的医师对发烧会有比较宽松的定义

总之，guildline不是法律，偏一点不会犯法。人是活的，要根据情况的。不漏掉任何病人是最重要的。

http://www.mayoclinic.org/diseases-conditions/fever/basics/symptoms/con-20019229

Diseases and Conditions

Fever

Symptoms

By Mayo Clinic Staff

You have a fever when your temperature rises above its normal range. What's normal for you may be a little higher or lower than the average normal temperature of 98.6 F (37 C).

省略很多。。。

When to see a doctor

Fevers by themselves may not be a cause for alarm — or a reason to call a doctor. Yet there are some circumstances when you should seek medical advice for your baby, your child or yourself.

Infants

An unexplained fever is greater cause for concern in infants and in children than in adults. Call your baby's doctor if your child is:

Younger than age 3 months and has a rectal temperature of 100.4 F (38 C) or higher.
Between ages 3 to 6 months and has a temperature up to 102 F (38.9 C) and seems unusually irritable, lethargic or uncomfortable or has a temperature higher than 102 F (38.9 C).
Between ages 6 to 24 months and has a temperature higher than 102 F (38.9 C) that lasts longer than one day but shows no other symptoms. If your child also has other signs and symptoms, such as a cold, cough or diarrhea, you might call your child's doctor sooner based on severity.
A newborn and has a lower than normal temperature — less than 97 F (36.1 C). Very young babies may not regulate body temperature well when they're ill and may become cold rather than hot.

When in doubt, go ahead and call your child's doctor, whether you think your baby's temperature is abnormally high or abnormally low. 。。。。

http://www.hopkinschildrens.org/fever.aspx

Johns Hopkins Children’s center

Fever

What is Fever?

Fever is a symptom, not a sickness. It’s only natural to be concerned when your child’s temperature goes up, but not all fevers are a cause for worry. In fact, many fevers don't need treatment. By activating your child's immune system, a fever can actually shorten your child’s illness. Normal temperature is not a specific number. Instead normal temperature usually ranges from 97° to 100.4° Fahrenheit. Body temperature also varies according to time of day, age, and physical activity. Pediatricians do not consider a fever significant unless it rises above 100.4°.

Cleveland Clinic

http://my.clevelandclinic.org/symptoms/fever/hic_fever.aspx

Fever

A fever is a higher-than-normal body temperature and is a part of our body’s natural response to infection. The average normal body temperature is 98.6 degrees Fahrenheit. When your body’s temperature rises a few degrees above normal, it is a sign that your body is fighting infection and is generally not cause for concern. In these cases, a fever is the response you want your body to have since it means that it is healthy enough to fight infection. For this reason it is not always a good idea to try and bring a fever down too quickly. However, a fever that goes above 102 degrees Fahrenheit is a cause for concern, and treatment should be initiated.