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不明原因长期发热的临床分析
引用本文:董梅,孙秀静,魏珉. 不明原因长期发热的临床分析[J]. 中华儿科杂志, 1999, 37(7): 426-428
作者姓名:董梅  孙秀静  魏珉
作者单位:[1]中国医学科学院 [2]中国协和医科大学北京协和医院儿科
摘    要:目的 探讨不明原因长期发热患儿的病因及诊断方法。方法 回顾性地总结分析符合FUO诊断标准的患儿118例。结果 118例中晚期诊断有107例,确诊率为90.75,未能确诊11例,确诊病例中,感染性疾病33例,结缔组织病44例,肿瘤及瘤样病14例,其他疾病13例,伪装热3例。最终确定诊断的方法分别为;血清学和细菌学检查75例,占70.0%;组织活检13例,占12.1%;骨髓检查9例,占84%,影像学检

关 键 词:发热 原因不明 诊断 回顾性研究 病因

A clinical analysis of fever of unknown origin
DONG Mei,SUN Xiujing,WEI Min. A clinical analysis of fever of unknown origin[J]. Chinese journal of pediatrics, 1999, 37(7): 426-428
Authors:DONG Mei  SUN Xiujing  WEI Min
Affiliation:DONG Mei,SUN Xiujing,WEI Min Department of Pediatrics,Peking Union Medical College Hospital,Beijing 100730
Abstract:Objective To investigate the causes and diagnostic methods of fever of unknown origin (FUO) Methods The clinical data of 118 patients with FUO were analyzed Results The definite diagnosis was finally made in 107 cases Among them 33 cases (308%) were caused by infectious diseases; 44 cases (411%) were caused by connective tissue diseases 14 cases (131%) were due to tumors and 13 cases (121%) were due to other diseases Three cases (28%) had artificial fever Causes for 11 cases were still unknown after hospitalization Conclusion Most of the patients with FUO could be diagnosed according to the clinical course and necessary aided examinations Connective tissue diseases, infectious diseases and tumoroid diseases were the main causes of FUO in this group
Keywords:Fever of unknown originDiagnosisRetrospective studies
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