CAJ | 학술논문

目的探讨不明原因长期发热的病因.方法回顾性地分析总结1997年1月至2007年10月间在我院住院且符合不明原因长期发热诊断标准的97例患者的临床资料,对其确诊情况及病因进行分析与比较.结果 97例患者经各种检查或试验性治疗最后明确诊断者有82例,确诊率为84.5%.82例确诊的患者病因包括:感染性疾病45例,占46.4%,细菌性感染42例占感染性疾病的93.3%,其中结核病、布氏杆菌病和伤寒/副伤寒各占细菌性感染的21.4%(9/42)、14.3%(6/42)和14.3%(6/42);结缔组织病16例,占16.5%;肿瘤性疾病13例,占13.4%;其他疾病8例,占8.2%;原因仍未明者15例,占15.5%.结论感染性疾病仍然是不明原因长期发热的主要病因,结核病、布氏杆菌病和伤寒/副伤寒也是感染性疾病中的主要病种;结缔组织病和肿瘤性疾病也占有相当比例;大多数发热通过仔细检查和分析最终可明确诊断.
목적 탐토불명원인장기발열적병인.방법 회고성지분석총결1997년1월지2007년10월간재아원주원차부합불명원인장기발열진단표준적97례환자적림상자료,대기학진정황급병인진행분석여비교.결과 97례환자경각충검사혹시험성치료최후명학진단자유82례,학진솔위84.5%.82례학진적환자병인포괄:감염성질병45례,점46.4%,세균성감염42례점감염성질병적93.3%,기중결핵병、포씨간균병화상한/부상한각점세균성감염적21.4%(9/42)、14.3%(6/42)화14.3%(6/42);결체조직병16례,점16.5%;종류성질병13례,점13.4%;기타질병8례,점8.2%;원인잉미명자15례,점15.5%.결론 감염성질병잉연시불명원인장기발열적주요병인,결핵병、포씨간균병화상한/부상한야시감염성질병중적주요병충;결체조직병화종류성질병야점유상당비례;대다수발열통과자세검사화분석최종가명학진단.
Objective To investigate the cause of fever of unknown origin (FUO). Methods Clinical data of 97 patients with FUO from January 1997 to December 2007 were analyzed. Results After various examinations and specific treatment,the definite diagnosis was finally made in 82 cases. 45 cases (46.4%) were caused by infections, among them 93.3% was due to bacterium, 21.4% by tuberculosis, 14.3% by brucellosis and 14.3% by typhiod/paratyphoid. 16 cases ( 16.5% ) were caused by connective tissue diseases; 13 cases ( 13.4% ) were tumors; 8 cases (8.2%) were other diseases. 15 cases (15.5%) was of unknown causes. Conclusion Infection is the main cause of FUO. Connective tissue diseases and tumors axe also the common causes of FUO.