chills
Introduction
Introduction It has muscle contraction and convulsions, and it is cold and trembling (such as cold before fever), also known as chills. Normal chills are caused by the violent short-term uncontrollable contraction of the skeletal muscle under stress by the cold stimulation. Skeletal muscles consume ATP when they contract. This will play a role in protecting the cold.
Cause
Cause
Normal chills are caused by the violent short-term uncontrollable contraction of the skeletal muscle under stress by the cold stimulation. Skeletal muscles consume ATP when they contract. This will play a role in protecting the cold.
The chill of disease is more common in fever, more is high fever, when the body is hot, the body's temperature feels the central adjustment imbalance, it will have a wrong feeling with the outside temperature, so it feels cold.
Examine
an examination
Related inspection
Blood routine urine routine
The chill of disease is more common in fever, more is high fever, when the body is hot, the body's temperature feels the central adjustment imbalance, it will have a wrong feeling with the outside temperature, so it feels cold.
The chills are often accompanied by high fever, mostly for the central line.
1. Suddenly high fever, body temperature can rise straight, up to 40 ~ 41 ° C, continue to heat for hours to days until death; or body temperature suddenly drops to normal.
2. The temperature of the trunk is high, the temperature of the limb is second, and the temperature on both sides can be asymmetric, with a difference of more than 0.5 °C.
3. Although the fever is high, the symptoms of poisoning are not obvious, and there is no trembling.
4. No facial and body skin flushing and other reactions, on the contrary can be expressed as dry skin, reduced sweating, cold limbs.
5. Generally not accompanied by pulse and respiratory increase with increasing body temperature.
6. No evidence of infection, generally not accompanied by increased white blood cells, or a high total, no change in classification.
7. Due to the integration of dysfunction of body temperature, the body temperature fluctuates with changes in external temperature.
8. Antibiotics and antipyretics (such as acetylsalicylic acid) are generally ineffective during high fever. This is because the body temperature regulation center is damaged, and the antipyretic drugs are difficult to affect them, so the clinical effect of cooling is not produced. However, it can be effective with chlorpromazine and cold compress.
Diagnosis
Differential diagnosis
In combination with clinical high fever, whether there are symptoms of mental illness, whether it is a high-heat type of central chill, or a physiological chill.
The chill of disease is more common in fever, more is high fever, when the body is hot, the body's temperature feels the central adjustment imbalance, it will have a wrong feeling with the outside temperature, so it feels cold.
