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。
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 discases, 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 discases and tumor diseases were the main causes of FUO in the studied group.
出处
《重庆医科大学学报》
CAS
CSCD
2005年第5期744-746,共3页
Journal of Chongqing Medical University