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目的建立我国尚未报道的新发传染病(EID)诊断及鉴别诊断预警系统。方法系统研究我国目前尚未报道的EID 文献资料,综合分析并提取主要临床特征,采用信息化技术,建立其诊断和鉴别诊断预警系统。结果建立的诊断和鉴别诊断预警系统具有信息的完整录入、查询、统计、分析和网络预警等功能。应用该系统对49种感染性疾病、314份病例进行初步验证,结果显示第一诊断符合率61.9%;前3位提示率78.1%;前5位提示率86.6%。结论新发传染病的诊断及鉴别诊断预警系统功能强大,使用方便、灵活,扩充性强,对病例比较准确地提示可能的诊断及鉴别诊断,提供针对性的进一步检查内容及治疗原则,特殊病例可通过电子疫情报告系统及时上报,可以提前预警 EID。
Objective To establish an early warning system for diagnosis and differential diagnosis of newly diagnosed infectious diseases (EIDs) that has not been reported in our country. Methods To systematically study the EID literature which has not yet been reported in our country, comprehensively analyze and extract the main clinical features, and use information technology to establish the early warning system of diagnosis and differential diagnosis. Results The diagnosis and differential diagnosis early warning system has the functions of complete information input, inquiry, statistics, analysis and network early warning. Application of the system to 49 kinds of infectious diseases, 314 cases preliminary validation, the results show that the first diagnosis coincidence rate of 61.9%; the first three tips 78.1%; the first five tips 86.6%. Conclusion The diagnosis and differential diagnosis of new infectious diseases early warning system is powerful, easy to use, flexible, scalable, and more prompt diagnosis of possible cases and differential diagnosis, to provide targeted further examination and treatment principles, special cases E-report system can be timely reporting, early warning EID.