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小儿长期发热的病因探讨及误诊原因分析
引用本文:刘俊举,薛艳.小儿长期发热的病因探讨及误诊原因分析[J].临床误诊误治,2005,18(7):483-484.
作者姓名:刘俊举  薛艳
作者单位:扬州市第一人民医院,江苏,扬州,225001;扬州市第一人民医院,江苏,扬州,225001
摘    要:目的:探讨小儿长期发热的病因,寻找尽早明确诊断的方法。方法:对符合长期发热诊断标准的231例患儿临床资料进行回顾性分析。结果:231例中明确病因198例,占85.7%,其中以感染性疾病、自身免疫性疾病、恶性肿瘤居前三位,33例经多方检查未明确原因,占14.3%。结论:详细询问病史,全面细致查体,合理选择医技检查,综合分析全部临床资料,可尽早明确长期发热的病因。

关 键 词:发热  儿童  诊断  肺炎  支原体  败血症  淋巴瘤  组织细胞病  恶性
文章编号:1002-3429(2005)07-0483-02
修稿时间:2005年3月15日

Long-term Fever in Pediatric Patients: Analysis of Etiology and Misdiagnosis
LIU Jun-ju,XUE Yan.Long-term Fever in Pediatric Patients: Analysis of Etiology and Misdiagnosis[J].Clinical Misdiagnosis & Mistherapy,2005,18(7):483-484.
Authors:LIU Jun-ju  XUE Yan
Abstract:Objective:To investigate the causes of long-term fever in pediatric patients and to find out the measurements for confirming an early diagnosis. Methods:The clinical data of 231 patients with long-term fever were analyzed retrospectively.Results: Among these 231 cases,198 cases were clearly diagnosed with infectious diseases,connective tissue disease (CTD) and malignant tumors,accounting for 85.7%;33 cases (14.30%) were having unknown etiology after various diagnostic tests.Conclusions:A definite diagnosis would only be achieved by the following procedures:detailed case history collection,systematic examination,rational use of laboratory and accessory examinations and general analysis of all clinical data.
Keywords:Fever  Children  Pneumonia  Mycoplasma  Chlamydia  Septicemia  Lymphoma  Histocytosis  malignant  
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