SOVREMENNAYA PEDIATRIYA.2019.3(99):44-49; doi 10.15574/SP.2019.99.44

Космынина Н. С.
Львовский национальный медицинский университет имени Данила Галицкого, Украина

В данной статье рассмотрено современное состояние проблемы лихорадки неизвестного происхождения у детей. Представлены основные этапы изучения данного вопроса с описанием механизмов лихорадки, проанализированы причины лихорадки у детей разных стран, представлен дифференциально-диагностический алгоритм ведения больных с лихорадкой неизвестного происхождения и проанализирована диагностическая ценность наиболее значимых лабораторных и инструментальных методов исследования. Показано, что диагностический поиск при наличии лихорадки неизвестного происхождения включает выявление клинико-лабораторных признаков, обуславливающих особенности целенаправленного обследования пациентов по использованию наиболее информативных для конкретной клинической ситуации диагностических методов. Вопрос же о целесообразности назначения лечения до установления причины лихорадки должен решаться врачом строго индивидуально, в зависимости от конкретной клинической ситуации.

Ключевые слова: лихорадка неизвестного происхождения, дети.

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Статья поступила в редакцию 20.12.2018 г.; принята в печать 15.04.2019 г.