医学与哲学
醫學與哲學
의학여철학
MEDICINE AND PHILOSOPHY
2015年
8期
60-63
,共4页
发热待查%诊断思路%治疗策略
髮熱待查%診斷思路%治療策略
발열대사%진단사로%치료책략
fever of unknown origin%diagnosis%treatment strategy
发热待查（FUO）病因包罗万象，临床表现复杂多样，实验室检查特异性不强，且常常多种病因重叠。发热待查的患者也因此常常被误诊延诊，承担了较大的精神压力与经济压力。因此，分析临床病例，总结临床经验，建立一套发热待查疾病的诊疗策略对临床诊断有很好的借鉴作用。笔者认为可以从三方面入手处置发热待查患者：第一，定性分析，积极寻找病因；第二，定量分析，妥善治疗患者；第三，动态观察，必要时进行诊断性治疗。
髮熱待查（FUO）病因包囉萬象，臨床錶現複雜多樣，實驗室檢查特異性不彊，且常常多種病因重疊。髮熱待查的患者也因此常常被誤診延診，承擔瞭較大的精神壓力與經濟壓力。因此，分析臨床病例，總結臨床經驗，建立一套髮熱待查疾病的診療策略對臨床診斷有很好的藉鑒作用。筆者認為可以從三方麵入手處置髮熱待查患者：第一，定性分析，積極尋找病因；第二，定量分析，妥善治療患者；第三，動態觀察，必要時進行診斷性治療。
발열대사（FUO）병인포라만상，림상표현복잡다양，실험실검사특이성불강，차상상다충병인중첩。발열대사적환자야인차상상피오진연진，승담료교대적정신압력여경제압력。인차，분석림상병례，총결림상경험，건립일투발열대사질병적진료책략대림상진단유흔호적차감작용。필자인위가이종삼방면입수처치발열대사환자：제일，정성분석，적겁심조병인；제이，정량분석，타선치료환자；제삼，동태관찰，필요시진행진단성치료。
Due to diverse causes of disease , complex clinical manifestations , fever of unknown origin (FUO ) cause encompassing ,and low laboratory specificity ,patients with fever of unknown origin is often misdiagnosed or delayed , bearing a larger spiritual and economic pressure .Therefore ,it has a good reference that we analyzed clinical cases and summarized clinical experience to establish a strategy of clinical diagnosis and treatment for FUO patients .We could dispose fever of unknown origins in patients from three aspects:first ,qualitative analysis to search for a cause;second ,quantitative analysis to treatment the patient properly ;third ,dynamic observation ,if necessary diagnostic treatment is needed .
