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[长期发热的诊断方法(附72例病例分析)]

[Diagnostic approach to prolonged fever (apropos of 72 cases)].

作者信息

Lafaix C, Cadoz M, Lamotte J C, Canuel C

出版信息

Ann Med Interne (Paris). 1977 Feb;128(2):99-106.

PMID:869391
Abstract

A report of 72 case histories of prolonged feven (more than three weeks, diagnosis not obvious on admission). The writers review the frequency of occurrence of the various etiologies. Infections are the most frequent cause (43 cases). A good number of them are easy to diagnose based on clinical exams and routine tests. Others are a great deal more difficult to diagnose, and in particular deep, suppurative foci. Collagen diseases then follow with 10 cases, the diagnosis of which is made by immunology and histology. Cancers are not very numerous (4 cases) and poorly represent the usual breakdown (kidney, lungs, liver, colon, pancreas). There were no cases of involvement of the blood and reticuloendothelial systems. With regard to examination of these patients, the writers discuss the merits of lymphography and laparatomies, and they set limits to therapeutic tests.

摘要

一份关于72例长期发热(超过三周,入院时诊断不明确)病例的报告。作者回顾了各种病因的发生频率。感染是最常见的原因(43例)。其中许多病例通过临床检查和常规检查很容易诊断。其他病例则更难诊断,尤其是深部化脓性病灶。其次是胶原病,有10例,其诊断通过免疫学和组织学方法。癌症病例不多(4例),且未体现出常见的分布情况(肾脏、肺、肝脏、结肠、胰腺)。没有血液和网状内皮系统受累的病例。关于这些患者的检查,作者讨论了淋巴造影和剖腹手术的优点,并对治疗性试验设定了限制。

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Ann Med Interne (Paris). 1977 Feb;128(2):99-106.
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