不明原因发热的诊断策略研究进展  

Research Development in Diagnostic Strategies for Fever of Unknown Origin

作　　者：缪媛媛[1] 刘刚[1] 孟庆义[1] 

机构地区：[1]中国人民解放军总医院发热疾病科,北京100853

出　　处：《医学综述》2013年第23期4225-4227,共3页Medical Recapitulate

基　　金：国家自然科学基金面上项目(81071585);科技部科技基础性工作专项项目(2006FY230300)

摘　　要：不明原因发热(FUO)因其病因复杂,缺乏特异的检测手段和方法,是临床常见的疑难病症之一。目前国际上尚无公认的FUO诊断策略。先从前期的病史、体检、实验室及影像学检查结果中寻找有潜在诊断价值的线索(PDCs),再根据PDCs有针对性的询问病史、体格检查,进行特异性的检查能进一步明确病因。对无法确诊者选择全身炎症示踪显像,随访至病情缓解或出现新的诊断线索。目前仍有少部分FUO无法明确诊断。Fever of unknown origin （FUO）may be caused by many diseases and there is no specific testing approach for it,which is considered one of the major diagnostic challenges in clinical. At present there is no internationally accepted diagnostic strategies for FUO. First, potential diagnostic clues （PDCs）should be found according to illness history,physical examination and non-specific laboratory or imaging examination, then targeted history taking,physical examination, specific checks according to PDCs can further clarify the cause. The following approach should be selected for the undiagnosed cases ： a systemic inflammatory tracer scintigraphy ;follow-up until remission or the emergence of new PDCs. There are still a small part of FUO with unconfirmed diagnosis.

关 键 词：不明原因发热 疑难病 诊断策略 

分 类 号：R441.3[医药卫生—诊断学]