不明原因发热。

Fever of unknown origin.

作者信息

Brusch J L, Weinstein L

机构信息

Harvard Medical School, Boston, Massachusetts.

出版信息

Med Clin North Am. 1988 Sep;72(5):1247-61. doi: 10.1016/s0025-7125(16)30739-8.

DOI:10.1016/s0025-7125(16)30739-8

PMID:3045457

Abstract

The evaluation of an FUO is a significant test of all a physician's clinical skills. The ultimate goal of the physician is to reach a diagnosis and to cure the patient in the best possible situation. Despite such pressure both externally and self-imposed, a physician needs to meticulously follow the patient and logically pursue the available diagnostic tests. To "shotgun" the process, except in the most urgent situation, is to ultimately create more frustration, confusion, and despair among the physician and his patient.

摘要

不明原因发热（FUO）的评估是对医生所有临床技能的一项重大考验。医生的最终目标是做出诊断，并在尽可能理想的情况下治愈患者。尽管面临来自外部和自身的压力，医生仍需细致地跟踪患者，并合理地进行各项可用的诊断检查。除了在最紧急的情况下，“乱枪打鸟”式地进行诊断过程最终会给医生及其患者带来更多的挫败、困惑和绝望。