Thermometry in children.
Thermometry in children.
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DOI：
10.4103/0974-2700.99699
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发表时间：
2012-07
期刊：
影响因子：
--
通讯作者：
Faridi MM
中科院分区：
文献类型：
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作者：
Batra P;Saha A;Faridi MM
准确测量体温对于检测儿科患者的发热和体温过低非常重要。理想的体温测量技术应该是安全、简便、无创、经济、省时，并能准确反映核心体温。肺动脉离下丘脑最近，最能反映核心温度。其他使用部位为远端食管、膀胱和鼻咽。所有这些方法都是侵入性的，难以在临床实践中使用。在非侵入性方法中，直肠测温被认为是最接近核心温度的方法，但它有其自身的缺点。根据现有的证据，2岁以上儿童的鼓室动脉测温和所有年龄组的颞动脉测温都优先于其他方法。
Accurate measurement of temperature is important for detection of fever and hypothermia in pediatric patients. Ideal temperature-measurement technique should be safe, easy, noninvasive, cost effective, time efficient, and should precisely reflect core body temperature. Pulmonary artery is the closest to hypothalamus and best reflects the core temperature. Other sites used are distal esophagus, urinary bladder and nasopharynx. All these methods are invasive and difficult to use in clinical practice. Amongst the noninvasive methods, rectal thermometry is considered to be the closest to core temperature, but it has its own drawbacks. With the current evidence available, tympanic artery thermometry for children more than 2 years of age and temporal artery thermometry in all age groups are taking precedence over other methods.