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目的探讨不明原因发热伴淋巴结肿大患者的诊断思路与方法及治疗方案。方法对不明原因发热的患者进行相关检查,明确诊断,制定治疗方案,并查阅国内外有关文献进行分析。结果该患者经淋巴结活检确诊为组织细胞性坏死性淋巴结炎,用激素治疗后好转。结论临床上对不明原因发热伴淋巴结肿大患者应及时行淋巴结活检并排除其他疾病,以明确诊断。
Objective To investigate the diagnosis and treatment of patients with unexplained fever and lymph node enlargement. Methods The patients with unexplained fever were inspected, the diagnosis was made, the treatment plan was made, and the relevant documents at home and abroad were consulted for analysis. Results The patient was confirmed by lymph node biopsy as histiocytic necrotizing lymphadenitis, which improved after treatment with hormone. Conclusion Clinically, patients with unexplained fever and lymph node enlargement should be promptly performed lymph node biopsy and rule out other diseases in order to confirm the diagnosis.