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src="https://file.bohe.cn/fhfile1/M00/75/B6/ooYBAGgnEs2ASpV_AABt8GZ36J4957.jpg"></p><p>呼吸道合胞病毒、流感病毒等引起的上呼吸道感染是嬰幼兒發(fā)熱常見(jiàn)原因。病毒性感染通常伴隨流涕、咳嗽等癥狀，體溫波動(dòng)在38-39℃之間，病程約3-5天。血常規(guī)檢查顯示白細(xì)胞正常或偏低，淋巴細(xì)胞比例升高。</p><p>細(xì)菌性扁桃體炎、尿路感染等可能導(dǎo)致反復(fù)發(fā)熱。細(xì)菌感染往往表現(xiàn)為高熱不退，體溫可達(dá)39℃以上，可能伴隨局部紅腫、排尿異常等癥狀。血常規(guī)檢查可見(jiàn)白細(xì)胞和中性粒細(xì)胞明顯升高，需進(jìn)行細(xì)菌培養(yǎng)確定病原體。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/75/6D/o4YBAGgnEs2AM2aQAABxwaQw93Q283.jpg"></p><p>接種百白破、麻腮風(fēng)等疫苗后可能出現(xiàn)低熱反應(yīng)，通常在接種后24小時(shí)內(nèi)出現(xiàn)，體溫多在38℃以下，持續(xù)1-2天自行消退。這種發(fā)熱屬于正常免疫反應(yīng)，無(wú)需特殊處理，注意觀察即可。</p><p>人類(lèi)皰疹病毒6型感染引起的幼兒急疹表現(xiàn)為持續(xù)3-4天高熱，熱退后出現(xiàn)玫瑰色斑丘疹。該病具有自限性，發(fā)熱期間可能伴有輕度腹瀉、淋巴結(jié)腫大，皮疹出現(xiàn)后體溫即恢復(fù)正常。</p><p>嬰幼兒咽鼓管發(fā)育不完善易引發(fā)中耳炎，表現(xiàn)為夜間哭鬧、抓耳、發(fā)熱等癥狀。耳鏡檢查可見(jiàn)鼓膜充血、膨隆，嚴(yán)重時(shí)可能出現(xiàn)鼓膜穿孔流膿。急性中耳炎需及時(shí)治療以防聽(tīng)力受損。</p><p>對(duì)于反復(fù)發(fā)熱的嬰幼兒，建議保持室內(nèi)空氣流通，適當(dāng)減少衣物促進(jìn)散熱。母乳喂養(yǎng)可繼續(xù)，人工喂養(yǎng)需少量多次補(bǔ)充水分。可選用溫水擦浴物理降溫，避免使用酒精擦拭。觀察精神狀態(tài)、進(jìn)食情況，如出現(xiàn)持續(xù)高熱不退、精神萎靡、抽搐等癥狀應(yīng)及時(shí)就醫(yī)。退熱藥物需在醫(yī)生指導(dǎo)下使用，避免自行調(diào)整劑量。恢復(fù)期注意營(yíng)養(yǎng)補(bǔ)充，適當(dāng)增加維生素C含量高的水果泥，保證充足睡眠有助于免疫力恢復(fù)。</p></div> <div id="ey1uvbiufh" class="f24 fc9 lh40 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