| 原因不明发热诊断方法和病因变化分析 |
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| 引用本文： | 余文聘,侯少芝,林吉进,陈潮钦,吴洁文,谢灿茂.原因不明发热诊断方法和病因变化分析[J].河北医学,2003,9(2):134-136. |
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| 作者姓名： | 余文聘 侯少芝 林吉进 陈潮钦 吴洁文 谢灿茂 |
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| 作者单位： | 1. 汕头大学医学院附属第一医院内科,广东,汕头,515041
2. 中山大学附属第一医院内科,广东,广州,510080 |
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| 摘 要： | 目的：了解原因不明发热（FUO）诊断方法和病因变化情况。方法：分析我院1991年11月至2001年1月间FUO住院病人248例，与1978年1月至1987年3月FUO 234例比较。结果：病因中感染性疾病占41．9％，风湿性疾病占11．3％，肿瘤性疾病占10．9％，其它疾病占6．0％，原因仍不明者占29．8％。近10年靠组织活检或临床观察确诊的比例增高，病原体培养确诊的比例明显减少，不明原因者比例显著上升。结论：原因不明发热（FUO）的诊断方法和病因构成比已发生变化，值得重视。
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| 关 键 词： | 发热 病因 诊断 构成比 |
| 文章编号： | 1006-6233(2003)02-0134-03 |
Objective to analyze the changes of diagnostic methods and etiology of fever unknown origin (FUO) in past 20 years |
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| YU Wen-pin,HOU Shao-zhi,LING Si-jin,et al.Objective to analyze the changes of diagnostic methods and etiology of fever unknown origin (FUO) in past 20 years[J].Hebei Medicine,2003,9(2):134-136. |
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| Authors: | YU Wen-pin HOU Shao-zhi LING Si-jin |
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| Abstract: | Objective: To review the diagnosis and etiology of patients with FUO. Methods: Clinical data of 248 FUO cases from November 1st, 1991 to January 31st, 2001 were reviewed and compared with 234 FUO inpatients from January 1st, 1978 to March 31st, 1987.Results: The final diagnosis encountered were: Infections (41.9%),collagen vascular diseases (11.3%),neoplasms(10.9%),and other diagnosis(6.0%).29.8%of the cases remained without a final diagnosis. The proportion of diagnosis by biopsy or clinical observation is increased. However, diagnosis by pathogenic culture is decreased. Undiagnosed cases are increased. Conclusion: The diagnostic methods and spectrum of FUO is changing. |
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| Keywords: | Fever of unknown Origin Etiology Diagnosis Spectrum |
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