总结56例成人Still病临床资料。分析误诊原因,结合文献提出诊断要点和治疗方案,以便提高认识,减少误诊率。认为早期确诊的关键要提高对该病的认识,抓住以下特征:发热,皮疹,关节痛,肝、脾、淋巴结大;白细胞升高、血沉快、血培养阴性;抗生素治疗无效而肾上腺皮质激素有效。肾上腺皮质激素是目前公认有效的药物,可配合消炎痛等药。 The clinical data of 56 adult Still disease cases were summarized. Analysis of the causes of misdiagnosis, combined with the literature proposed diagnostic points and treatment options in order to raise awareness and reduce the rate of misdiagnosis. That the key to early diagnosis to improve the understanding of the disease, to seize the following characteristics: fever, rash, joint pain, liver, spleen, lymph nodes; leukocytosis, erythrocyte sedimentation rate, blood culture negative; antibiotic therapy ineffective adrenocorticotropic hormone effective. Cortina hormone is currently recognized as effective drugs, with indomethacin and other drugs.