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目的建立新发传染病病毒性脑炎及出血热的鉴别诊断及临床诊断辅助识别系统。方法以出血热、脑炎为主要表现的病毒性EID为主线,系统研究其临床特征,通过先进的信息化技术,建立其临床诊断和鉴别诊断辅助识别系统。结果确定了一套稳定和准确的临床诊断指标体系;建立了专家辅助诊断系统的评价体系并建立了贝叶斯网络。对37种感染性疾病,154份病例应用该系统进行初步验证。结果显示临床诊断与第一诊断符合率59.7%;前三位提示率77.9%;前五位提示率85.4%。结论新发传染病病毒性脑炎及出血热的鉴别诊断及临床诊断辅助识别系统符合临床思维,具有提示、引导、指导和培训功能,并具有较好的准确性、兼容性、稳定性、灵活性和实用性。
Objective To establish a new differential diagnosis and clinical diagnosis of infectious encephalitis and hemorrhagic fever. Methods Hemorrhagic fever and encephalitis as the main manifestation of viral EID as the main line, systematic study of its clinical features, through advanced information technology, to establish its clinical diagnosis and differential diagnosis of auxiliary recognition system. Results A stable and accurate clinical diagnosis index system was established. An evaluation system of expert-assisted diagnosis system was established and a Bayesian network was established. In 37 cases of infectious diseases, 154 cases were initially validated using this system. The results showed that the first diagnosis of clinical diagnosis and compliance rate of 59.7%; the first three tips 77.9%; the first five tips 85.4%. Conclusions The differential diagnosis and clinical diagnosis of newly diagnosed infectious encephalitis and haemorrhagic fever are in line with clinical thinking and have the functions of prompt, guidance, guidance and training, and have better accuracy, compatibility, stability and flexibility Sexuality and practicality.