查詢結果分析
相關文獻
- Prolonged Fever in Children
- Child Transitional Object Attachment: Nature, Development, and Related Factors
- 散布性交易訊息刑罰化合憲否
- 兒童知覺動作發展
- 聯合國與盧安達人權:滅絕種族及其他罪行之懲治
- 學齡前兒童之聽力篩檢
- Strokes in Children: A Medical Center-Based Study
- 兒童癲癇重積狀態
- The Effectiveness of Dietary Instruction in Obese School Children of Southern Taiwan
- 諾爾斯成人教育學模型在國中補校教學上的適用性--以公民科為例
頁籤選單縮合
題 名 | Prolonged Fever in Children=兒童持續發燒之探討 |
---|---|
作 者 | 簡志澔; 李慶雲; 黃立民; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 37:1 民85.01-02 |
頁 次 | 頁31-38+73 |
分類號 | 417.5103 |
關鍵詞 | 持續發燒; 兒童; Prolonged fever; Children; |
語 文 | 英文(English) |
中文摘要 | 四年間計有八十六位病童因持續發燒超過六日且在初步理學檢查與實驗室檢驗後無法獲致診斷而住院者,是爲本回顧性分析之病人。他們的年紀由兩個月至十六歲;有五十五位男孩與三十一位女孩。診斷方面,細菌性感染有19例(22%),病毒性感染17例(20%),鰴漿菌感染3例,瘧疾1例。罹患膠原病者計13位病童(15%),包括7例幼年型風濕性關節炎、5例系統性紅斑性狼瘡。13位病童(15%)診斷爲腫瘤或血液疾病,包括白血病、淋巴瘤、骨髓生成不良與神經母細胞瘤。另有14例病童(16%)之發燒因於夏季熱等中心性發燒。總計診斷率高達98%。26位病童之預後差,包括6例膠原病與12例腫瘤。診斷之獲致常是經由完整的病史、詳細的理學檢查、一般性的實驗室檢驗、和臨床病程的觀察。侵犯性的組織檢驗若使用得當可以提高診斷率,在有特異適應症時可加以考慮。 |
英文摘要 | During a four-year period,86 children with fever lasting for at least 6 days without diagnosis at admission after initial plysical examination and preliminary laboratory lests were included in a retrospective analysis. Their ages ranged from 2 months to 16 years, and there were 55 males and 31 females. Bacterial infections occurred in 19 patients(22%), viral infections in 17(20%), mycoplasmal infections in 3 and malaria in 1. Collagen vascular diseases were diagnosed in 13 children(15%), including 7 juvenile rheumatoid arthritis and 5 systemic lupus erythematosus. Thirteen children(15%) had neoplastic or hematological diseases, including leukemia, lymphoma, myelodysplastic syndrome, and neuroblastoma. The fevers of the other 14 patients(16%)were attributed to central fever. The overall diagnostic rate was 98%. Twenty-two children had a poor outcome, including 6 children with collagen vascular diseases and 12 with neoplasms. Diagnoses were made mainly through a complete medical history, meticulous physical examination, regular laboratory tests, and an observation of clinical course. Invasive tissue studies can be fruitful when used appropriately and should be considered for spectfic indication only. |
本系統中英文摘要資訊取自各篇刊載內容。