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小孩387算高烧吗要怎么处理

2025-08-032

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小孩387算高烧吗要怎么处理

小孩387算高烧吗要怎么处理

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  • 主任医师 解答

    小孩38.7度,如果是腋下测量则属于中等热,不是高热,通常可采取一般治疗、药物治疗、针对病因治疗的方式缓解症状。

    1、一般治疗

    小孩发烧38.7度,家长应给孩子适量减少衣物及被褥,以利于散热,辅助降温,同时可使用温毛巾擦拭孩子颈部、腹股沟、腋下等大血管行走处,以利于降温。孩子发烧期间由于代谢加快、退烧大量出汗等可能会导致水分大量丢失,此时家长应给孩子增加饮水量,以免脱水引起电解质紊乱。

    2、药物治疗

    小孩如果体温一直不降或出现上升的趋势,则应遵医嘱使用非甾体类抗炎药退烧处理,一般可选用对乙酰氨基酚、布洛芬等。

    3、针对病因治疗

    药物降温的同时还应积极寻找病因,一般可通过血常规、B超、C反应蛋白等检查明确病因。葡萄球菌感染引起的发热可遵医嘱使用阿莫西林、头孢曲松等抗感染治疗;衣原体感染引起的发热则应使用红霉素、克拉霉素等治疗。流感病毒引起的发热患者可使用奥司他韦、扎那米韦等抗病毒药物治疗。小儿皮肤黏膜淋巴结综合征患儿发热,则应积极使用阿司匹林、丙种球蛋白治疗原发病,预防冠状动脉病变。

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  2. 视图: /home/mengsiqi.cn/view/pc/ask_show.htm
  3. 控制器: /home/mengsiqi.cn/lecms/control/show_control.class.php
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  8. #7 [time:0.0044s] UPDATE LOW_PRIORITY le_cms_lqbz_views SET views=views+1 WHERE id='414299' LIMIT 1
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