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小儿不明原因长期发热108例临床分析
引用本文:姚霖,陆长东,汤慧丽,古晓琳,谢红忠.小儿不明原因长期发热108例临床分析[J].临床医学,2007,27(7):14-15.
作者姓名:姚霖  陆长东  汤慧丽  古晓琳  谢红忠
作者单位:广东省深圳市第四人民医院儿科,深圳,518033;广东省深圳市第四人民医院儿科,深圳,518033;广东省深圳市第四人民医院儿科,深圳,518033;广东省深圳市第四人民医院儿科,深圳,518033;广东省深圳市第四人民医院儿科,深圳,518033
摘    要:目的探讨不明原因长期发热(FOU)患儿的病因及诊断方法。方法对不明原因长期发热患儿的临床资料进行回顾性总结分析。结果108例中明确诊断99例(91.7%),未确诊9例(8.3%)。确诊病例中感染性疾病68例(63.0%)、结缔组织病17例(15.7%)、肿瘤性疾病9例(8.3%)、其他疾病5例(4.6%)。结论根据临床经过及有关实验室检查大部分可以明确FOU病因诊断。感染性疾病为长期发热的主要病因,其次为结缔组织病及肿瘤性疾病。

关 键 词:发热  不明原因  诊断  回顾性研究
修稿时间:2007-02-20

A clinical analysis of 108 children with fever of unknown origin
YAO Lin,LU Changdong,TANG Huili,GU Xiaolin,XIE Hongzhong.A clinical analysis of 108 children with fever of unknown origin[J].Clinical Medicine,2007,27(7):14-15.
Authors:YAO Lin  LU Changdong  TANG Huili  GU Xiaolin  XIE Hongzhong
Abstract:Objective To study the origin and diagnostic method for children fever of unknown origin (FOU).Methods One hundred and eight cases of pediatric FOU were reviewed. Results Among 108 cases,99 were diagnosed definitely(91.7%),9 were indefinitely(8.3%). Among the definite cases,68 were of infectious disease(63.0%),17 were of connective tissue diseases(15.7%),9 were of tumor diseases(8.3%),5 belonged to other diseases(4.6%).Conclusion Most cases of FOU can be diagnosed definitely with clinical characteristics of the patients and by essential laboratory studies. Infectious diseases are the major causes of FOU in children. Next are connective tissue diseases and tumor diseases.
Keywords:Fever of unknown origin  Diagnosis  Retrospective studies
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