发热待查疾病的诊疗策略  

The Strategy of Diagnosis and Treatment for Fever of Unknown Origin Patients

作　　者：邓赛月 许东[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院感染科,湖北武汉430000

出　　处：《医学与哲学（B）》2015年第4期60-63,共4页Medicine & Philosophy(B)

基　　金：湖北省自然科学基金;项目编号:2013CFB077

摘　　要：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。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 .

关 键 词：发热待查 诊断思路 治疗策略 

分 类 号：R441.3[医药卫生—诊断学]