发热了怎么办？到发热门诊就诊安全吗？ 这些顾虑，医生都说清楚了
<p style="text-align: center;"></p><p><br/></p><p>近日武汉迎来降温，天气多变出现发热症状的患者可能增多。疫情期间，发热了怎么办？应该去发热门诊就诊吗？如何安全就诊？针对市民关心的问题，记者11月3日采访到武汉市第三医院首义院区急诊科及发热门诊负责人万少兵。</p><p><br/></p><p><strong>发热后及时到正规发热门诊就医</strong></p><p><strong><br/></strong></p><p>万少兵介绍说，人的体温受体温调节中枢控制一般在36℃~37.2℃之间波动。不同部位的体温会稍有差异（腋下、口腔、耳后、直肠不同）。通常情况下，我们所说的发热是指腋下体温达到或高于37.3℃，有干咳、乏力、咽痛、嗅（味）觉减退、腹泻等症状者，需及时到发热门诊就医。</p><p><br/></p><p>“引起发热的原因通常分为两类：感染性发热和非感染性发热。”万少兵说，感染性发热是指各种病原体如细菌、病毒、肺炎支原体、真菌及寄生虫等侵入后引起的发热，常见的有上呼吸道感染、肺部感染、耳鼻咽喉感染、肠道感染等。非感染性发热可能是因为风湿免疫性疾病或肿瘤性疾病等引起。</p><p><br/></p><p>不同的病原体感染临床表现也各有不同。上呼吸道感染会出现咽痛、流鼻涕、鼻塞；肺部感染可能伴有咳浓痰、胸痛；尿路感染则会有尿频、尿急、尿痛等表现。</p><p><br/></p><p>由于奥密克戎变异株传播速度快、隐匿性强，无症状感染者不易排查，给疫情增加了复杂性。为此，若有市民出现发热、咳嗽、乏力等症状，为保证患者和他人的安全，不要自行购药，及早到正规医院发热门诊按规定就医。</p><p><br/></p><p><strong>闭环管理为就诊提供全程防护</strong></p><p><strong><br/></strong></p><p>对于一些群众害怕到发热门诊，担心会被隔离或交叉感染的顾虑。万少兵表示，到发热门诊后，大家不必恐慌，这里有规范的消杀、到位的防护和缜密清晰的流程，为发热患者设置有带厕所的单人隔离间留观，省市疫情防控指挥部、各级部门定期和不定期督察、监管，确保发热门诊各项工作规范有序。</p><p>“常态化疫情防控下，发热门诊仍然实行闭环管理。”万少兵说，出现发热症状的市民，进入发热门诊后，首先必须检查核酸、血常规，必要时行胸部CT检查。针对其他发热的病因，医生也会安排相应的检查和治疗。</p><p><br/></p><p>对于普通发热患者，发热门诊医生给出治疗后，患者可离开医院，如病情需要住院，发热门诊医生会联系住院部收治住院。如果患者的新冠核酸检测结果为阳性，将立即启动上报、复核、专家组会诊、消毒等流程，及时将患者闭环转运到定点医院隔离治疗。</p><p><br/></p><p>万少兵提醒，市民出现发热、咳嗽、乏力等症状，应规范佩戴口罩，尽量选择乘坐私人交通工具前往发热门诊；要避免聚集，不在人多且空气不流通的环境下长时间逗留；到达医院后，配合医护人员行流行病学调查，听从安排，有序就诊。</p><p><br/></p><section style="max-width: 100%; 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