中西医结合心血管病电子杂志
中西醫結閤心血管病電子雜誌
중서의결합심혈관병전자잡지
Cardiovascular Disease Journal of Integrated Traditional Chinese and Western Medicine (Electronic)
2014年
3期
6-7
,共2页
米吉提·马木提%沙尼亚·尼亚子%张跃新
米吉提·馬木提%沙尼亞·尼亞子%張躍新
미길제·마목제%사니아·니아자%장약신
发热%不明原因%诊断%病因分析
髮熱%不明原因%診斷%病因分析
발열%불명원인%진단%병인분석
fever,unknown origin%diagnosis%etiology analysis
目的:探讨不明原因发热(FUO)患者的诊断方法的选择和病因的确定。方法对208例FUO 患者的临床资料进行回顾性分析。结果208例FUO患者经血清学,细菌学,体液检查,骨髓检查,组织活检,手术探查,并结合临床经过和诊断性治疗效果来明确诊断。208例FUO患者中有184例最终明确诊断(88.46%184/208),包括感染性疾病占148例(71.16%158/208),非感染性疾病占51例(24.51%41/208)。病因未明者24例(11.54%24/208)。结论对于FUO的诊断尽量获得病原学,免疫学和病理学的诊断依据。
目的:探討不明原因髮熱(FUO)患者的診斷方法的選擇和病因的確定。方法對208例FUO 患者的臨床資料進行迴顧性分析。結果208例FUO患者經血清學,細菌學,體液檢查,骨髓檢查,組織活檢,手術探查,併結閤臨床經過和診斷性治療效果來明確診斷。208例FUO患者中有184例最終明確診斷(88.46%184/208),包括感染性疾病佔148例(71.16%158/208),非感染性疾病佔51例(24.51%41/208)。病因未明者24例(11.54%24/208)。結論對于FUO的診斷儘量穫得病原學,免疫學和病理學的診斷依據。
목적:탐토불명원인발열(FUO)환자적진단방법적선택화병인적학정。방법대208례FUO 환자적림상자료진행회고성분석。결과208례FUO환자경혈청학,세균학,체액검사,골수검사,조직활검,수술탐사,병결합림상경과화진단성치료효과래명학진단。208례FUO환자중유184례최종명학진단(88.46%184/208),포괄감염성질병점148례(71.16%158/208),비감염성질병점51례(24.51%41/208)。병인미명자24례(11.54%24/208)。결론대우FUO적진단진량획득병원학,면역학화병이학적진단의거。
Objective To analyze the diagnostic methods and etiological factors in Patients with fever of unknown origin (FUO). Methods The clinical data of 208 Patients with FUO,who were treated in hosPital since Jan 2010 to Jan 2014,were retrosPetively analyzed. Results 208 Patients with FUO by serology and bacteriology,fluid examination,bone marrow examination,bioPsy,surgical exPloration,com-bined with the clinical diagnosis by diagnostic and treatment effect.In 208 of 208 Patients with FUO final diagnosis(88.46%,184/208),in-cluding infectious disease accounted for 148 cases (71.16%,158/208),the infectious diseases accounted for 51 cases (24.51%,41/208). The cause is unknown,24 cases (11.54%,24/208).Conclusion In the diagnosis of FUO,we should manage to collect Path ogenic,immu-nologic and Pathologic evidences.