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Journal of Zhejiang University SCIENCE B

ISSN 1673-1581(Print), 1862-1783(Online), Monthly

Diagnostic strategies for diseases with fever in dental clinics

Abstract: Fever is an increase in body temperature beyond the normal range, acting as a protective inflammatory mechanism. This article summarizes diseases with fever encountered in dental clinics, including what is known about pyrexia in coronavirus infection, and further proposes a “six steps in one” identification and analysis strategy to guide the clinical work of stomatology.

Key words: Fever; Dental clinic; Diagnosis; Strategy

Chinese Summary  <28> 口腔发热疾病辨析策略

袁健1,刘传霞1,李再晔2,陈谦明1
1浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,中国杭州市,310006
2四川大学华西口腔医院,口腔疾病研究国家重点实验室,国家口腔疾病临床研究中心,中国成都市,610041
概要:发热是机体的一种保护机制,指体温升高超过了正常范围,作为许多疾病常见的伴随症状。其病因复杂多变,常牵扯全身系统病变。发热不仅在传染病的监测预警中起着重要作用,而且在口腔诊疗中也是常见症状。本文通过对口腔感染途径及口腔相关发热疾病进行分类和总结,明确各种口腔发热疾病(包括新型冠状病毒感染)的发热特点和临床表现,增加"黏膜相关性感染"以及"黏膜相关性发热"作为感染途径及发热种类的补充,提出"六步一体"口腔发热疾病辨析策略,并归纳口腔发热诊断流程图,从而对明确发热疾病的诊断,保护医患双方,以及为患者提供优质安全的口腔诊疗服务提供保障。

关键词组:发热;口腔门诊; 诊断;策略


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DOI:

10.1631/jzus.B2200369

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On-line Access:

2023-04-10

Received:

2022-07-18

Revision Accepted:

2023-01-08

Crosschecked:

2023-04-14

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