小兒의 中樞 및 末梢體溫의 變動
The Change of Central and Peripheral Temperature in Children
부산의대잡지 1977년 17권 2호 p.149 ~ 155
김찬영,
소속 상세정보
김찬영 ( )
부산대학교 의과대학 소아과학교실
KMID : 0365819770170020149
Abstract
1977年4月부터 10月까지 釜山醫大附屬病院 小兒科에서 新生兒 및 小兒의 正常體溫과, 그리고 有熱患兒에서 體溫變動을 觀察하였다. 電子體溫計로서 中樞體溫인 直腸 外耳道 및 小便溫度를 測定하였고, 그리고 末梢體溫인 手足指의 溫度를 各各 測定하여 觀察한바 다음과 같이 要約할 수 있다.
1. 新生兒의 中樞體溫인 外耳道溫度는 37.0±0.49℃로서 直腸溫度보다 約 0.6℃ 낮았고, 末梢體溫인 足指溫度는 35.5±1.29℃였다. 그리고 新生兒 腋窩溫度는 比較的 높았다.
2. 正常小兒의 外耳道溫度는 36.8±0.76℃였고, 中樞體溫으로 直腸, 口腔, 小便 및 外耳道溫度의 順位로 높았다. 足指溫度는 35.8±0.96℃였다.
3. 外耳道溫度는 直腸溫度보다 0.6℃ 낮았으나 서로 一定한 相關關係가 있으므로 中樞體溫의 하나로 簡便하게 利用할 수 있다.
4. 輕症脫水症 때 外耳道溫度와 足指溫度의 差는 1.0℃였으나, 重症脫水症때는 4.6℃로 그 差가 큰것을 알수있었다. 卽 脫水症의 程度가 甚할수록 中樞體溫과 末梢體溫의 差가 큰 것을 알 수 있다.
Temperature measurements of rectum, oral cavity, external auditory meatus and urine as central temperature, of finger, toe and axilla as peripheral temperature in afebrile and febrile children who were visited to pediatric department of Busan National University from April 1, 1977 to October 31, 1977 by electric thermometer were done.
The results were .as follows;
1. Temperatures in external auditory meatus (37.0±0.49°C) as central temperature were lower than rectal temperature with about 0.6°C in normal newborns, and toe temperatures were 35.5±1.29°C. The axillary temperatures were higher than external auditory meatus temperatures.
2. Temperatures in external auditory meatus in normal children were 36.8±0.76°C, *but among central temperatures rectal temperatures were highest, next oral, urine and auditory temperatures in order of high temperature.
3. Temperatures in the external auditory meatus which was lower than rectal temperature with 0.6°C, but high correlation coefficient between them was used conveniently as index of central temperature change.
4. Temperature gradients between auditory and toe temperature in mild dehydrations were about 2. 1°C but 4.6°C in severe dehydrations, therefore wide temperature gradients between central and peripheral temperature were suggested significantly severe dehydrated states.
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