{"id":6173,"date":"2025-12-02T10:26:55","date_gmt":"2025-12-02T02:26:55","guid":{"rendered":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6173"},"modified":"2025-12-02T10:26:57","modified_gmt":"2025-12-02T02:26:57","slug":"%e4%b8%8d%e6%98%8e%e7%86%b1fuo-%e7%99%bc%e7%87%92%e8%83%8c%e5%be%8c%e7%9a%84%e9%9a%b1%e5%bd%a2%e6%95%b5%e4%ba%ba","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6173","title":{"rendered":"\u4e0d\u660e\u71b1(FUO) \u767c\u71d2\u80cc\u5f8c\u7684\u96b1\u5f62\u6575\u4eba"},"content":{"rendered":"\n<p class=\"has-text-align-right\">\u6587\uff0f\u611f\u67d3\u79d1 \u674e\u539f\u5730\u4e3b\u4efb<\/p>\n\n\n\n<p>\u3000\u3000\u767c\u71d2\u662f\u4eba\u9ad4\u5c0d\u6297\u75be\u75c5\u7684\u81ea\u7136\u53cd\u61c9\uff0c\u4f46\u82e5\u767c\u71d2\u6301\u7e8c\u8d85\u904e\u4e09\u9031\uff0c\u4e14\u7d93\u904e\u57fa\u672c\u6aa2\u67e5\u4ecd\u7121\u6cd5\u78ba\u8a3a\uff0c\u5c31\u53ef\u80fd\u662f\u300c\u4e0d\u660e\u539f\u56e0\u767c\u71d2\u300d\uff08Fever of Unknown Origin, FUO\uff09\u3002\u9019\u7a2e\u60c5\u6cc1\u4e0d\u50c5\u8b93\u60a3\u8005\u7126\u616e\uff0c\u4e5f\u8003\u9a57\u91ab\u7642\u5718\u968a\u7684\u8a3a\u65b7\u80fd\u529b\u3002<\/p>\n\n\n\n<p><strong>\u4ec0\u9ebc\u662f\u4e0d\u660e\u71b1\uff1f<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u767c\u71d2\u4e26\u4e0d\u662f\u4e00\u7a2e\u75be\u75c5\uff0c\u800c\u662f\u4e00\u7a2e\u81e8\u5e8a\u8868\u73fe\uff0c\u80cc\u5f8c\u53ef\u80fd\u96b1\u85cf\u591a\u7a2e\u75c5\u56e0\u3002\u4e0d\u660e\u71b1\u5b9a\u7fa9\u5305\u62ec\u4ee5\u4e0b\u4e09\u9805\u689d\u4ef6\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9ad4\u6eab\u8d85\u904e 38.3\u00b0C\uff08101\u00b0F\uff09<\/li>\n\n\n\n<li><span style=\"color: initial;\">\u767c\u71d2\u6301\u7e8c\u8d85\u904e\u4e09\u9031<\/span><\/li>\n\n\n\n<li>\u7d93\u904e\u4e00\u9031\u4ee5\u4e0a\u7684\u4f4f\u9662\u6216\u9580\u8a3a\u6aa2\u67e5\u4ecd\u7121\u6cd5\u78ba\u8a3a<\/li>\n<\/ul>\n\n\n\n<p><strong>\u50b3\u67d3\u6027\u75be\u75c5\uff1a\u6700\u5e38\u898b\u7684\u5143\u5147<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u4e0d\u660e\u71b1\u7d0430\uff5e40%\u6700\u5f8c\u78ba\u5b9a\u70ba\u611f\u67d3\u5f15\u8d77\uff0c\u7d0420\uff5e30%\u70ba\u60e1\u6027\u816b\u7624\u6216\u764c\u75c7\u5f15\u8d77\uff0c\u7d0420%\u70ba\u81a0\u539f\u75c5\u6216\u7d50\u7de0\u7d44\u7e54\u75be\u75c5\u5f15\u8d77\u3002\u5728\u53f0\u7063\uff0c\u50b3\u67d3\u6027\u75be\u75c5\u4ecd\u662f FUO \u6700\u5e38\u898b\u7684\u539f\u56e0\u4e4b\u4e00\uff0c\u5c24\u5176\u5728\u514d\u75ab\u529b\u4f4e\u4e0b\u8005\u6216\u5e74\u9577\u8005\u8eab\u4e0a\u66f4\u70ba\u5e38\u898b\u3002\u5e38\u898b\u75c5\u56e0\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7d50\u6838\u75c5\uff1a\u5c24\u5176\u662f\u80ba\u5916\u7d50\u6838\uff0c\u5982\u6dcb\u5df4\u7d50\u6838\u3001\u9aa8\u7d50\u6838\u7b49\uff0c\u5e38\u4e0d\u6613\u5bdf\u89ba\u3002<\/li>\n\n\n\n<li><span style=\"color: initial;\">\u5fc3\u5167\u819c\u708e\uff1a\u7d30\u83cc\u611f\u67d3\u5fc3\u81df\u74e3\u819c\uff0c\u75c7\u72c0\u53ef\u80fd\u4e0d\u660e\u986f\u4f46\u5371\u96aa\u6027\u9ad8\u3002<\/span><\/li>\n\n\n\n<li><span style=\"color: initial;\">\u6df1\u90e8\u611f\u67d3\uff1a\u5982\u809d\u81bf\u760d\u3001\u814e\u76c2\u814e\u708e\uff0c\u6709\u6642\u9700\u5f71\u50cf\u6aa2\u67e5\u624d\u80fd\u767c\u73fe\u3002<\/span><\/li>\n\n\n\n<li>\u75c5\u6bd2\u611f\u67d3\uff1a\u5982 EB \u75c5\u6bd2\u3001CMV \u7b49\uff0c\u5e38\u898b\u65bc\u5e74\u8f15\u4eba\u6216\u514d\u75ab\u6291\u5236\u60a3\u8005\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>\u5982\u4f55\u8a3a\u65b7\u767c\u71d2\uff1f<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u8a3a\u65b7\u767c\u71d2\u9700\u8981\u8010\u5fc3\u8207\u7cfb\u7d71\u6027\u7684\u601d\u8003\u3002\u91ab\u5e2b\u6703\u4f9d\u7167\u4ee5\u4e0b\u4e94\u5927\u6b65\u9a5f\uff0c\u9010\u6b65\u6392\u9664\u53ef\u80fd\u75c5\u56e0\uff1a<\/p>\n\n\n\n<p><strong>1.<\/strong><strong>\u3000\u75c5\u53f2\u8a62\u554f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8a73\u7d30\u4e86\u89e3\u767c\u71d2\u6642\u9593\u3001\u578b\u614b\u3001\u4f34\u96a8\u75c7\u72c0\u3001\u7528\u85e5\u53f2<\/li>\n\n\n\n<li>\u7279\u5225\u63d0\u9192 TOCC \u56db\u5927\u8981\u7d20\uff1a\n<ul class=\"wp-block-list\">\n<li>\u65c5\u904a\u53f2\uff08Travel history\uff09<\/li>\n\n\n\n<li>\u8077\u696d\u5225\uff08Occupation\uff09<\/li>\n\n\n\n<li>\u63a5\u89f8\u53f2\uff08Contact history\uff09<\/li>\n\n\n\n<li>\u662f\u5426\u7fa4\u805a\uff08Cluster\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\uff0a\u75c5\u53f2\u662f\u8a3a\u65b7\u7684\u8d77\u9ede\uff0c\u5e38\u53ef\u63d0\u4f9b\u95dc\u9375\u7dda\u7d22<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"916\" height=\"533\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2025\/12\/11412-02.jpg\" alt=\"\" class=\"wp-image-6174\" style=\"width:590px;height:auto\"\/><\/figure><\/div>\n\n\n<p><strong>2.<\/strong><strong>\u8eab\u9ad4\u6aa2\u67e5<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u89c0\u5bdf\u76ae\u819a\u3001\u6dcb\u5df4\u7d50\u3001\u809d\u813e\u816b\u5927\u3001\u5fc3\u80ba\u8179\u90e8\u7b49\u7570\u5e38\u5fb5\u8c61<\/li>\n\n\n\n<li>\u5354\u52a9\u521d\u6b65\u5224\u65b7\u662f\u5426\u6709\u611f\u67d3\u3001\u816b\u7624\u6216\u81ea\u9ad4\u514d\u75ab\u75c5\u8b8a<\/li>\n<\/ul>\n\n\n\n<p><strong>3.<\/strong><strong>\u5be6\u9a57\u5ba4\u6aa2\u9a57<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8840\u6db2\u3001\u5c3f\u6db2\u3001\u75f0\u6db2\u57f9\u990a<\/li>\n\n\n\n<li><span style=\"color: initial;\">\u75c5\u6bd2\u6297\u9ad4\u3001PCR\u3001\u8840\u7403\u5206\u985e\u3001\u767c\u708e\u6307\u6a19\uff08\u5982 CRP\u3001Procalcitonin\uff09<\/span><\/li>\n\n\n\n<li>\u53ef\u5354\u52a9\u6392\u9664\u611f\u67d3\u6027\u6216\u8840\u6db2\u75be\u75c5<\/li>\n<\/ul>\n\n\n\n<p><strong>4.<\/strong><strong>\u5f71\u50cf\u5b78\u6aa2\u67e5<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80f8\u90e8\uff38\u5149\u3001\u8179\u90e8\u8d85\u97f3\u6ce2\u3001\u96fb\u8166\u65b7\u5c64\uff08CT\uff09\u3001\u78c1\u632f\u9020\u5f71\uff08MRI\uff09\u3001\u6b63\u5b50\u65b7\u5c64\u6383\u63cf\uff08PET-CT\uff09<\/li>\n\n\n\n<li>\u7528\u65bc\u5075\u6e2c\u6df1\u90e8\u611f\u67d3\u3001\u816b\u7624\u3001\u7d50\u6838\u75c5\u7076\u6216\u5668\u5b98\u7570\u5e38<\/li>\n<\/ul>\n\n\n\n<p><strong>5.\u8a3a\u65b7\u7d50\u679c\u8207\u5f8c\u7e8c\u8655\u7f6e<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6574\u5408\u6240\u6709\u6aa2\u67e5\u7d50\u679c\uff0c\u78ba\u7acb\u8a3a\u65b7\u5f8c\u9032\u884c\u6cbb\u7642\uff08\u5982\u6297\u751f\u7d20\u3001\u624b\u8853\u7b49\uff09<\/li>\n\n\n\n<li>\u4e26\u5b89\u6392\u5f8c\u7e8c\u8ffd\u8e64\u6216\u8f49\u8a3a\uff0c\u78ba\u4fdd\u75c5\u60c5\u7a69\u5b9a<\/li>\n\n\n\n<li>\u6709\u6642\u9700\u9032\u4e00\u6b65\u9032\u884c\u9aa8\u9ad3\u7a7f\u523a\u6216\u7d44\u7e54\u5207\u7247<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"475\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2025\/12\/11412-01-1024x475.jpg\" alt=\"\" class=\"wp-image-6175\" style=\"width:881px;height:auto\"\/><\/figure><\/div>\n\n\n<p><strong>\u6c11\u773e\u8a72\u5982\u4f55\u61c9\u5c0d\uff1f<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u82e5\u60a8\u6216\u5bb6\u4eba\u51fa\u73fe\u9577\u671f\u767c\u71d2\uff0c\u8acb\u6ce8\u610f\u4ee5\u4e0b\u4e8b\u9805\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u52ff\u81ea\u884c\u670d\u7528\u6297\u751f\u7d20<\/strong>\uff1a\u53ef\u80fd\u63a9\u84cb\u75c5\u56e0\uff0c\u5f71\u97ff\u8a3a\u65b7<\/li>\n\n\n\n<li><strong>\u8a18\u9304\u767c\u71d2\u6642\u9593\u8207\u75c7\u72c0<\/strong>\uff1a\u6709\u52a9\u91ab\u5e2b\u5224\u65b7\u75c5\u56e0<\/li>\n\n\n\n<li><strong>\u914d\u5408\u91ab\u5e2b\u5b89\u6392\u6aa2\u67e5<\/strong>\uff1a\u5305\u62ec\u62bd\u8840\u3001\u5f71\u50cf\u6aa2\u67e5\u7b49<\/li>\n\n\n\n<li><strong>\u4fdd\u6301\u826f\u597d\u885b\u751f\u7fd2\u6163<\/strong>\uff1a\u907f\u514d\u63a5\u89f8\u50b3\u67d3\u6e90\uff0c\u4fdd\u8b77\u81ea\u5df1\u8207\u4ed6\u4eba<\/li>\n<\/ul>\n\n\n\n<p><strong>\u7d50\u8a9e\uff1a\u767c\u71d2\u662f\u8eab\u9ad4\u7684\u8b66\u8a0a<\/strong><\/p>\n\n\n\n<p>\u3000\u3000FUO \u96d6\u7136\u4ee4\u4eba\u7126\u616e\uff0c\u4f46\u900f\u904e\u91ab\u7642\u5718\u968a\u7684\u7d30\u5fc3\u8a3a\u65b7\u8207\u6c11\u773e\u7684\u914d\u5408\uff0c\u591a\u6578\u75c5\u56e0\u90fd\u80fd\u88ab\u627e\u51fa\u4e26\u59a5\u5584\u6cbb\u7642\u3002\u82e5\u60a8\u6709\u9577\u671f\u767c\u71d2\u7684\u60c5\u6cc1\uff0c\u8acb\u5118\u65e9\u5c31\u91ab\uff0c\u8b93\u5c08\u696d\u91ab\u5e2b\u5354\u52a9\u627e\u51fa\u75c5\u56e0\uff0c\u5b88\u8b77\u5065\u5eb7\u3002<\/p>\n\n\n\n<p>Reference:<\/p>\n\n\n\n<p>Chantal P. Bleeker-Rovers &amp; Jos W. M. van der Meer. (2018). Fever of Unknown Origin. J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo &amp; Joseph Loscalzo (Eds.), Harrison&#8217;s Principles of Internal Medicine (20ed., pp.114-122). McGraw Hill.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6587\uff0f\u611f\u67d3\u79d1 \u674e\u539f\u5730\u4e3b\u4efb \u3000\u3000\u767c\u71d2\u662f\u4eba\u9ad4\u5c0d\u6297\u75be\u75c5\u7684\u81ea\u7136\u53cd\u61c9\uff0c\u4f46\u82e5\u767c\u71d2\u6301\u7e8c\u8d85\u904e\u4e09\u9031\uff0c\u4e14\u7d93\u904e\u57fa\u672c\u6aa2\u67e5\u4ecd\u7121\u6cd5\u78ba\u8a3a\uff0c\u5c31\u53ef [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[739,738,740,741,742,743,744,644],"class_list":["post-6173","post","type-post","status-publish","format-standard","hentry","category-19","tag-fuo","tag-738","tag-740","tag-741","tag-742","tag-743","tag-744","tag-644"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/6173"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6173"}],"version-history":[{"count":1,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/6173\/revisions"}],"predecessor-version":[{"id":6176,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/6173\/revisions\/6176"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}