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目的:探讨不明原因长期发热患儿的病因及诊断方法。方法:回顾性地总结分析符合长期发热诊断标准的患儿87例。结果:87例中明确诊断有84例,确诊率为96.5%,未能确诊3例。其中感染性疾病71例,非感染性疾病13例,结缔组织病9例,肿瘤4例。最终确定诊断的方法分别为:血清学和(或)细菌学检查80例,骨髓检查2例,影像学检查5例。结论:根据临床表现和必要的辅助检查可以明确长期发热中的多数病例的病因诊断;感染性疾病、结缔组织病是本组长期发热的主要病因。
Objective: To investigate the etiology and diagnosis of children with unexplained chronic fever. Methods: A retrospective analysis of 87 cases of children with long-term fever diagnostic criteria. Results: Of the 87 cases, 84 were diagnosed correctly, the diagnosis rate was 96.5%, and 3 cases were not diagnosed. Among them, 71 were infectious diseases, 13 were non-infectious diseases, 9 were connective tissue diseases and 4 were tumors. The final diagnosis method were: serological and (or) bacteriological examination in 80 cases, bone marrow examination in 2 cases, imaging examination in 5 cases. Conclusion: According to clinical manifestations and the necessary auxiliary examination can clear the etiology of most cases of long-term fever; infectious diseases, connective tissue disease is the main cause of long-term fever in this group.