骨髓检查在289例原因不明发热诊断中的价值  

Bone marrow examination of 289 patients with fever of unknown origin

作　　者：罗冰[1] 屈谦[1] 冯琳[1] 

机构地区：[1]广州医学院第三附属医院血液内科,510150

出　　处：《内科》2008年第1期6-7,共2页Internal Medicine

摘　　要：目的探讨骨髓检查对发热患者诊断的作用。方法对发热病因待查患者289例进行回顾性分析。结果289例发热患者,诊断急性白血病44例,再生障碍性贫血、淋巴瘤及多发性骨髓瘤等41例,感染性疾病177例(其中有特异性骨髓象改变者45例),正常骨髓象27例。结论通过骨髓检查大部分患者可得到明确诊断。Objective To investigate the effect of bone marrow examination on the diagnosis for patients with fever. Methods Analyzing retrospectively the clinical record of 289 cases of patients with fever of unknown origin. Results Of 289 patients with fever of unknown origin,44 were diagnosed with acute leukemia,41 aplastic anemia, lymphoma, and multiple myeloma, 177 infectious diseases（ 45 cases with specifie bone marrow features） and 27 normal bone marrow features. Conclusion Most of the patients with fever can be correctly diagnosed through bone marrow examination.

关 键 词：不明原因发热 骨髓检查 诊断 

分 类 号：R446.8[医药卫生—诊断学]