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成人still’s病(Adult onset still’s disease,AOSD)曾被称为变应性亚败血症,临床对本病命名混乱,且缺乏统一的诊断标准,极易误诊。现将我院1991年2月～2004年3月间收治33例患者的临床资料进行回顾性分析,以期对探讨临床诊断指标,提供浅见。 1 临床资料 1.1 一般资料 14年间我院共诊断AOSD 33例,其中男性15例,女性18例,男女之比为1:1.2;发病年龄15～65岁,平均年龄31±15岁,发病至确诊时间为1个月至3年,平均8个月。 1.2 诊断标准参照1992年日本AOSD研究委员会提出的诊断标准。主要标准:(1)发热≥39℃,并
Adult still’s disease (AOSD) has been called allergic sepsis, the clinical name of the disease confusion, and the lack of a unified diagnostic criteria, easily misdiagnosed. The clinical data of 33 patients admitted to our hospital from February 1991 to March 2004 are retrospectively analyzed in order to provide some hints on the clinical diagnostic criteria. 1 clinical data 1.1 General Information 14 cases of AOSD diagnosis of 33 cases in our hospital, including 15 males and 18 females, the ratio of men to women was 1: 1.2; age of 15 to 65 years old, mean age 31 ± 15 years old, the onset of diagnosis Time is from 1 month to 3 years, an average of 8 months. 1.2 diagnostic criteria with reference to the 1992 Japan AOSD research committee proposed diagnostic criteria. Main criteria: (1) fever ≥39 ℃, and