| 114例小儿不明原因长期发热的临床分析 |
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| 引用本文： | 黄延风,叶梅,朱朝敏. 114例小儿不明原因长期发热的临床分析[J]. 重庆医科大学学报, 2005, 30(5): 744-746 |
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| 作者姓名： | 黄延风 叶梅 朱朝敏 |
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| 作者单位： | 重庆医科大学附属儿童医院感染消化科,重庆,400014;贵州省遵义市妇幼保健院,遵义,563000 |
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| 摘 要： | 目的:探讨不明原因长期发热(FUO)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114例.结果:114例中明确诊断有90例,确诊率为78.9%,未能确诊24例(21.1%).病因:感染性疾病63例(70.0%),结缔组织病15例(16.7%),肿瘤及恶性疾病12例(13.3%).最终确定诊断的方法分别为:血清学和(或)细菌学检查41例,占45.6%;组织活检3例,占3.3%;骨髓检查8例,占8.9%;影像学检查20例,占22.2%;临床过程和(或)治疗反应观察18例,占20.0%.结论:根据临床经过和必要的辅助检查可以明确FUO中的大多数病例的病因诊断;感染性疾病、结缔组织病及肿瘤性疾病是本组的主要病因.
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| 关 键 词： | 发热 原因不明 诊断 回顾性分析 |
| 文章编号： | 0253-3626(2005)05-0744-03 |
| 收稿时间： | 2004-12-29 |
| 修稿时间： | 2004-12-29 |
A clinical analysis on 114 cases of fever of unknown origin |
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| HUANG Yanfeng, et al. A clinical analysis on 114 cases of fever of unknown origin[J]. Journal of Chongqing Medical University, 2005, 30(5): 744-746 |
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| Authors: | HUANG Yanfeng et al |
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| Abstract: | Objective:To investigate the causes and diagnostic methods of fever of unknown irigin(FUO).Methods:The clinical data of 114 patients with FUO were analyzed retrospectively.Results:The definite diagnosis was finally made in 90 cases,the definite diagnostic rate being 78.9%,24 cases(21.1%) failed to be diagnosed.63 definite cases(70.0%) were caused by infectious diseases;15 cases(16.7%) were caused by connective tissue diseases.12 cases(13.3%) were due to tumors and malignant diseases.a final diagnosis was made respectively by serology and(or) bacteriology(45.6%);biopsy(3.3%);bone marrow examination(8.9%);radiology(22.2%);clinical course and treatment(20.0%).Conclusion:Most patients with FUO could be diagnosed according to the clinical course and necessary aided examination.Infectious diseases,connective tissue diseases and tumor diseases were the main causes of FUO in the studied group. |
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| Keywords: | Fever of unknown origin Diagnosis Retrospective analysis |
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