關於發燒，美國排名最前的醫院怎麽說：梅奧，Johns Hopkins, Cleveland, Boston Children'

來源: 誌在千裏於 2014-07-17 07:17:05 [檔案] [舊帖] [給我悄悄話] 閱讀數 : (11237 bytes)

工作的醫院（也是best hospital）的網上圖書館一直把孩子發燒定義為 “temperature is 100.4 degrees Fahrenheit or higher”，成人部門則找不到關於發燒的信息. 知道醫院沒有自己的寫手，是抄來的。有點好奇其他頂級醫院是這麽寫的。
排名第一的梅奧還是把37 C加減作為正常體溫。超過為不正常。那是他們的原創。 Cleveland Clinic 是差不多的意思。 Johns Hopkins childrens 則把正常體溫定義為一個區段。超過為不正常。但說“Pediatricians do not consider a fever significant unless it rises above 100.4°”. 麻州General則找不到這方麵的信息(隻用了幾秒鍾找，抱歉！）。以上醫院都有成人部。

相比之下，波士頓兒童醫院則把100.4 degrees Fahrenheit or higher定義為發熱. 他們當然沒有成人部。

成人有低燒結果不好的比小孩多，見過兩個成人病人都隻有長期低熱（《100.4 degrees Fahrenheit》，結果一人查出癌症，一人是自身免疫病。。。可能這就是為什麽梅奧很小心說話的原因吧。另外，梅奧大概也沒有看那麽多令人頭疼的小孩，標準寬一點小病人多一點對醫院的財經也無妨吧。

因為很多小醫院和私人診所把梅奧的東西當guildline，所以我們碰到的醫師對發燒會有比較寬鬆的定義

總之，guildline不是法律，偏一點不會犯法。人是活的，要根據情況的。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.