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多少度算發(fā)燒？小孩發(fā)燒了怎么辦如何退燒最快

出處：媽媽育兒網(wǎng)日期：2019-02-27 10:38:39編輯：白雪

多少度算發(fā)燒？小孩發(fā)燒了怎么辦如何退燒來得快？一進入冬季，兒科發(fā)熱病就出現(xiàn)驟增，各地兒科門診吃緊，不管白天還是黑夜，都是人山人海。無論是在微信的朋友圈，還是各大小論壇的寶媽群，總有不少寶媽在問：寶寶發(fā)熱究竟該怎么辦？何時用藥，什么時候用物理降溫效果最好。

事實上，孩子感冒發(fā)燒，在醫(yī)生的角度看來，只不過是最低端的疾病，絕大多數(shù)都會痊愈，不會留下后遺癥。所以，家長也沒有必要因為孩子一發(fā)燒，就心急如焚，坐立不安。不過，這個道理寶媽們都懂，但當事情發(fā)生的時候，卻難以理性對待。必竟，現(xiàn)在的孩子都是全家人的寶，發(fā)燒在39度以下或許還能坐得住，但若體溫一旦超過39度或40度時，就算你是再淡寶、再理性的寶媽，估計此時也是心慌如麻了。那么，孩子發(fā)燒時爸爸媽媽究竟該怎么處理，寶寶體溫多少度才算是發(fā)燒呢？通常來說，看孩子是否發(fā)燒，可以從腋下部位的體溫來判斷：

低熱  37.5°C-38°C

中度發(fā)熱  38.1°C-39°C

高熱   39.1°C-40.5°C

超高熱   40.5°C以上

孩子發(fā)燒第一時間應(yīng)該怎么處理呢，是立馬沖向醫(yī)院去掛急診，還是在家先用物理降溫并觀察情況呢？

如果孩子發(fā)燒在39°C以下，且精神狀態(tài)不是太差的情況下（比如還能說話，還可以玩耍），可以暫時在家觀察，并采取物理降溫的方法+退燒藥來幫助退燒。正確的做法是，脫掉孩子過多的衣服（這樣孩子會感覺更舒服些），同時讓孩子多喝溫開水。因為感冒發(fā)燒后需發(fā)汗散熱，非常容易造成體內(nèi)水分流失，隨時都存在脫水的風險。所以應(yīng)該多喝點水，能有效預(yù)防出現(xiàn)脫水虛脫現(xiàn)象。

如果孩子的體溫超過38.5°C，或明顯感覺很不適的時候，可以用退燒藥幫助退燒。退燒藥可以選擇布洛芬，或?qū)σ阴０被?，這兩種藥可以任選其一，但一定不要同時或交替使用。也就是說，你用布洛芬就用布洛芬，不要早上吃布洛芬，下午又吃對乙酰氨基酚，堅持用一種就可以了。

如果寶寶口腔溫度達到38.5°C附近時，且出現(xiàn)明顯不適時，也可以用退熱藥的，不必因為一點點相差而死扣標準。吃完退燒藥之后，就在家里先觀察一下，如果還是不放心，可以帶孩子到就近的社區(qū)醫(yī)院看看。

如果說體溫達到39°C以上，且孩子的精神狀態(tài)較差，加上家長沒有這方面的經(jīng)驗，為了安全起見，可以帶著娃去醫(yī)院，讓醫(yī)生根據(jù)情況來處理。雖說當體溫達到39度時，建議沒有經(jīng)驗的寶媽最好是帶娃去醫(yī)院。但也不是說，孩子發(fā)燒到39度時，就是很危險了。事實上，孩子的體溫調(diào)節(jié)能力較差，發(fā)燒到39°C，或40°C，其實都是很常見的，這并不預(yù)示孩子就是病得很嚴重。

吃了退燒藥2個小時，體溫又升到了40度，可以再吃退燒藥嗎？

就剛才推薦的兩種退燒藥（布洛芬和對乙酰氨基酚），說明書上都寫得很清楚，每間隔4-6小時才能再重復(fù)服用。但家長看到孩子剛吃藥才2小時體溫就又升上來了，心里特別恐慌，就想搞清楚這種情況，究竟能不能再次服用退燒藥。但是，兒科專家明確表示，艱于需要間隔的時間未到，中間是不允許亂增加服用次數(shù)的。只有間隔時間確實達到了4-6個小時，才能重復(fù)使用，否則，也只能熬著。當然，此時建議保證室內(nèi)空氣流通，給孩子減少衣服，并讓孩子多喝溫開水，或洗個溫水浴幫助散熱。

一天吃布洛芬4次，可體溫不降怎么辦？是否可以換成對乙酰氨基酚呢？

其實，對于這種情況，兒科專家表示不建議馬上換退燒藥，甚至可以說，這個時間換退燒藥，實屬下策。因為，這兩種藥物交替服用，很有可能增加不良反應(yīng)，也可能混淆給藥間隔時間和藥劑量，從而引發(fā)藥物中毒的風險。所以，并不建議這兩種藥物交換服用。

注意事項：使用退燒藥之后如果出汗量多，一定要記得多補水（多讓孩子喝白開水）。若是3個月以內(nèi)的孩子，要仔細查查被感染的部位。重點觀察孩子的精神狀態(tài)，面色，呼吸是否急促；嘔吐、頭痛、腹瀉、皮疹、咳嗽等癥狀是否有加重的現(xiàn)象。

若孩子出現(xiàn)煩躁不安，抽筋，嗜睡，嘔吐、呼吸困難或頻率加快，請記得及時入院就診?？偠灾?，孩子生病了，家長一定要細心照烊，給房間通風散熱，這樣更有利于寶寶快速恢復(fù)。

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