在防治SARS期间对发热病人鉴别诊断的三道“关隘式”筛查的研究  

The study of three "pass form" screen of differential diagnosis for patient with fever during the prevention of SARS

作　　者：姚成立[1] 许旺[1] 苏颖[1] 谢振华[1] 王铁荣[1] 谢晓敏[1] 吴国荣[1] 姚琳芳[1] 张晨光[1] 杨菲[1] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001

出　　处：《宁夏医学杂志》2003年第12期712-715,共4页Ningxia Medical Journal

基　　金：宁夏自治区自然科学基金资助项目;编号C1 0 0 4

摘　　要：目的　探讨在防治SARS期间对发热病人诊断及鉴别诊断的三道“关隘式”筛查的方法。方法　在防治SARS的应急期和“非典间歇期” ,对所接诊的发热病人采用三道“关隘式”筛查方法进行诊断和鉴别诊断。结果　共接诊发热病人 5 6 89人 ,其中留观 15 4 8人 ,疑似SARS病例 4人 ,医学观察病例 6人。先后排除疑似SARS病例 4人、医学观察病例 6人。所诊治的发热病人占银川市发热病人总数的 6 8.84 % ,没有出现漏诊、误诊的情况。结论　对发热病人在经过严格的三道“关隘式”筛查方法进行诊断和鉴别诊断后 ,可以在尽可能短的时间内 ,比较准确地筛查出或排除疑似SARS病例和医学观察病例 ,真正做到“早发现、早报告、早隔离、早治疗”。Objective To probe the method of three 'pass form' screen of diagnosis and differential diagnosis for patient with fever during the prevention of SARS.Methods The diagnosis and differential diagnosis for patient with fever were made by using the three 'pass form' screen during the period of prevention of SARS and the intermittence of SARS.Results 5689 patients with fever was diagnosed. Among them 1548 patients were observed in observing room. 4 patients were diagnosed suspected SARS. 6 patients were for medical observation. 4 suspected patients and 6 medical observing patients were ruled out finally. The patients with fever, which were diagnosed and treated in our hospital,were 68.84% of Yinchuan city. No misdiagnosis case was made. Conclusion After careful three 'pass form' screen diagnosis and differential diagnosis for patients with fever, the suspected cases and medical observing cases can be ruled out as early as possible. The early diagnosis , early report, early separation and early treatment can be achieved.

关 键 词：发热 “关隘式” 筛查 鉴别诊断 

分 类 号：R441[医药卫生—诊断学]