A clinical analysis on 114 cases of fever of unknown origin

HUANG Yanfeng; et al

doi:10.13406/j.cnki.cyxb.2005.05.035

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A clinical analysis on 114 cases of fever of unknown origin

更新时间：2024-01-17

- A clinical analysis on 114 cases of fever of unknown origin
- Journal of Chongqing Medical University Issue 5, (2005)
- 作者机构：
  
  1. 重庆医科大学附属儿童医院感染消化科
  2. 贵州省遵义市妇幼保健院
  3. 重庆医科大学附属儿童医院感染消化科,重庆,400014
  4. ,遵义,563000
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.05.035
  CLC： R441
- Published：2005，
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[1]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(05):118-120.

HUANG Yanfeng, et al. A clinical analysis on 114 cases of fever of unknown origin. [J]. Journal of Chongqing Medical University (5).(2005)
[1]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(05):118-120. DOI： 10.13406/j.cnki.cyxb.2005.05.035.

HUANG Yanfeng, et al. A clinical analysis on 114 cases of fever of unknown origin. [J]. Journal of Chongqing Medical University (5).(2005) DOI： 10.13406/j.cnki.cyxb.2005.05.035.

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。

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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发热原因不明诊断回顾性分析

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