非常時期，孩子發熱怎麼辦？_風聞

解讀中國工作室推薦的系列短視頻節目《你不瞭解的科學防疫知識》，今日推出第十一集：《孩子發熱，家長不要慌》。

▲《你不瞭解的科學防疫知識》第11集：《孩子發熱，家長不要慌》

相信在非常時期，孩子發熱了一定是家長最提心吊膽的事情，加上在新聞裏聽到低年齡層孩子感染的消息，家長們簡直不知所措。如果發現小孩有發熱的症狀，請家長們不要立即帶小孩去醫院檢查，畢竟醫院是高風險場所。家長可以參照以下視頻的指導理性判斷孩子的症狀是否符合新冠肺炎的特徵。

現在仍處於流感季，當孩子出現發熱、流鼻涕、咳嗽症狀時，不一定代表感染了新冠肺炎病毒，普通感冒和流感也會出現同樣的症狀。所以在特殊時期，還是建議家長先在家中做好鑑別和對應的護理。家長可以先聽一聽孩子咳嗽聲和胸腔聲，判斷其是不是普通感冒。  

一般感冒引起的咳嗽，程度比較輕，緊貼胸口或背部時聽不到囉音明顯雜音，也不影響小朋友的精神狀態和食慾。所以如果您家的寶貝現在還能吃能玩能跑能跳，可以先自行在家觀察，不必急於上醫院。

The cough caused by a common cold is relatively mild, and no obvious sound can be heard when listening to your child’s chest or back, and it won’t affect children’s mental state or appetite. So if your baby can still play, run, jump, and has good appetite, self-observation at home instead of rushing to the hospital.

除普通流感外，季節性流行感冒也有類似症狀，它的顯著特徵是起病急，進展快。

季節性流行感冒一般是突然發病，體温可達39-40℃，通常還會有頭痛、全身肌肉痠痛、乏力和食慾減退的等症狀。兒童感染流感病毒還容易患上呼吸道感染、支氣管炎和肺炎，如果沒有其他併發症，可以先在家服用退熱止痛藥緩解症狀，保持觀察。

Seasonal influenza tends to come on suddenly and develops fast. It can bring the body temperature up to around 39-40°C and symptoms including headaches, sore muscles, fatigue, and loss of appetite. Children infected with influenza virus are also prone to develop respiratory infections, bronchitis, and pneumonia. If no other complications appear, your child may try taking antipyretic and analgesics at home to relieve symptoms and continue observation.

如果超過3天症狀沒有緩解，或者病情迅速發展並且出現了呼吸困難、精神不佳或者煩躁的症狀，那麼需要家長幫助孩子作出進一步的判斷是否有疫區旅遊史或疫區民眾接觸史。

新型冠狀病毒感染首先需要排除是否到過疫區或者和來自疫區的人有過近距離接觸，如果沒有，可以先自行隔離觀察。此外，新冠病毒肺炎既有發熱、乏力、乾咳等明顯症狀，也有無典型症狀的感染者（深圳10歲男童病例），因此主要還是通過流行病學史進行排查。

To prevent the COVID-19, first of all people need to ensure no previous visits to the epidemic area and no close contact with people from the epidemic area. If yes, keep isolated and maitain self-observation. In addition, people infected with the COVID-19 get obvious symptoms such as fever, fatigue, dry cough, and it is possible that they get infected without any typical symptoms (ie. infected case of a 10-year-old boy in Shenzhen), so the reliable investigation is mainly based on epidemiological history.

但當以下症狀出現在幼兒身上，家長則需提高警惕。

      

如果新生兒、嬰幼兒出現呼吸困難，甚至口唇面色發紫，或者伴有腹瀉等消化道症狀，就要高度警惕新型冠狀病毒感染，並儘快到最近的定點醫院接受診斷治療。

If newborns and infants have breathing difficulties, or even purple lips, or gastrointestinal symptoms such as diarrhea, parents must be highly vigilant against the novel coronavirus infection and go to the nearest designated hospital for diagnosis and treatment as soon as possible.

家長在帶小朋友就醫時，一定要做好防護，並要如實向醫生提供病史和流行病學史，以便醫生更快更準確地做出正確的診斷和治療，幫助寶貝們儘快恢復健康。

Parents should both protect their children and take good precautionary measures themselves when visiting the hospital. They should provide doctors with accurate medical and epidemiological history, so that doctors can make correct diagnosis and provide adequate treatment faster, and help the babies to recover sooner.