| 不明原因发热三例误诊分析 |
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| 引用本文： | 李小月,陈厦,李玉岭,穆荣,孙殿兴.不明原因发热三例误诊分析[J].临床误诊误治,2019,32(7):8-11. |
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| 作者姓名： | 李小月 陈厦 李玉岭 穆荣 孙殿兴 |
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| 作者单位： | 050082 石家庄,中国人民解放军联勤保障部队第九八〇(白求恩国际和平)医院肝病传染科;河北医科大学第二医院儿科, 石家庄,050000;石家庄市中医院神经内科, 石家庄,050051 |
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| 摘 要： | 目的探讨不明原因发热(fever of unknown origin, FUO)的临床诊治特点,减少临床误诊误治。方法对我院收治的3例FUO误诊患者的临床资料进行回顾性分析。结果本组3例均因FUO就诊于我科,且发热时间均超过1个月,确诊前均有误诊误治情况存在,1例误诊为妇科疾病、立克次体感染,1例误诊为支气管扩张合并感染,1例误诊为结核性心包炎,相关治疗效果欠佳。后经局部影像学及局部组织活检最终确诊。1例确诊为鞍区胶质瘤给予手术治疗,术后第4日患者体温降至正常,随访半年未再发热;1例诊断为肾癌多发转移,给予保守治疗,病情稳定出院,2个月后死亡;1例诊断为经典型霍奇金淋巴瘤(混合细胞型),7次化疗后病情稳定。结论 FUO的诊断应在结合病史、全面系统查体、综合分析相关医技检查结果的基础上,遵循个体化医疗原则尽早明确病因,减少临床误诊的发生。
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| 关 键 词： | 原因不明发热 误诊 感染 心包炎 结核性 |
Misdiagnosis Analysis of Three Patients with Fever of Unknown Origin |
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| LI Xiao-yue,CHEN Xia,LI Yu-ling,MU Rong,SUN Dian-xing.Misdiagnosis Analysis of Three Patients with Fever of Unknown Origin[J].Clinical Misdiagnosis & Mistherapy,2019,32(7):8-11. |
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| Authors: | LI Xiao-yue CHEN Xia LI Yu-ling MU Rong SUN Dian-xing |
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| Institution: | (Department of Hepatology Infections,980 Hospital of PLA Joint Logistics Support Forces,Shijiazhuang 050082,China;Department of Pediatrics,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Neurology,Traditional Chinese Medicine Hospital of Shijiazhuang,Shijiazhuang 050051,China) |
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| Abstract: | LI Xiao-yue;CHEN Xia;LI Yu-ling;MU Rong;SUN Dian-xing(Department of Hepatology Infections,980 Hospital of PLA Joint Logistics Support Forces,Shijiazhuang 050082,China;Department of Pediatrics,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Department of Neurology,Traditional Chinese Medicine Hospital of Shijiazhuang,Shijiazhuang 050051,China) |
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| Keywords: | Fever of unknown origin Misdiagnosis Infection Pericarditis tuberculous |
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