摘要
本文分析FUO病儿159例,占同期儿科住院人数的6.76％,以婴幼儿的发病率最高,在夏季6～8月发病者占65.4％,多为不规则发热。以感染性发热多见(占69.81％),其中败血症占57.65％,其病原以葡萄球菌及四联球菌多见。FUO病儿常伴有营养不良、佝偻病、贫血。血沉降测定高达90mm/h以上者均有严重疾病。本文分析了结核病、白血病的误诊病例并总结教训。为作出正确诊断必须首先认识健康小儿体温的变异,区别发热是属良性、自限性、还是属严重器质性疾病,并认识假性FUO及功能性长期低热的特点,对FUO的诊断步骤进行了讨论。
In this paper, we analyse 159 cases of FUO children, about 6.76% of hospitalized ill children at same period, FUO morbidity in infants and young children is highest, In the month of 6, 7 or 8 FUO morbidily is 65.4%. The temperature type is commonly irregular, Infectious fever are common (69.81%), in which septicaemia is 57.65%, the pathogens are mostly staphylococcus and tetraeoceus. FUO children usually have malnutrition, rickets and anemia, ESR over 90mm/h usually show that severe diseases occur. In this paper, we analyse the erroneously diagnostic cases of tuberculosis and leukemia, and take teachings from here. In order to take correct diagnosis, we must recognize normal variation of temperature in healfh chiIdren, differential diagnosis benign and self-limited diseases from severe orgnec diseases, recognize the characteristics of pseudo FUO and long functional fever, and discuss the diagnostic steps of FUO.
出处
《海南大学学报（自然科学版）》
CAS
1990年第1期34-40,共7页
Natural Science Journal of Hainan University
