现代医院
現代醫院
현대의원
MODERN HOSPITAL
2014年
8期
46-47,50
,共3页
发热待查%病因分析%白细胞计数%回顾性研究
髮熱待查%病因分析%白細胞計數%迴顧性研究
발열대사%병인분석%백세포계수%회고성연구
Fever of unknown origin%Etiology%Leukocyte count%Retrospective study
目的：总结发热查因并白细胞计数正常或减少患者的临床资料与特点，以指导临床诊治。方法回顾性分析2009年1月～2013年12月间收治的238例发热查因并白细胞计数正常或减少患者的临床表现、相关辅助检查、诊断治疗经过等资料。结果238例患者中以感染性疾病居首位占73.8％；其中尤以病毒性感染最多，占总人数的41.2％，占感染人数的58.7％；恶性肿瘤占7.2％；结缔组织疾病占2.5％；其它疾病占14.8％；原因不明占1.7％。结论此类患者经详细询问病史、查体和相应检查，大部分可确诊。病因仍以感染为主，但以病毒性感染居多，所以临床表现有其特殊性，应予关注。
目的：總結髮熱查因併白細胞計數正常或減少患者的臨床資料與特點，以指導臨床診治。方法迴顧性分析2009年1月～2013年12月間收治的238例髮熱查因併白細胞計數正常或減少患者的臨床錶現、相關輔助檢查、診斷治療經過等資料。結果238例患者中以感染性疾病居首位佔73.8％；其中尤以病毒性感染最多，佔總人數的41.2％，佔感染人數的58.7％；噁性腫瘤佔7.2％；結締組織疾病佔2.5％；其它疾病佔14.8％；原因不明佔1.7％。結論此類患者經詳細詢問病史、查體和相應檢查，大部分可確診。病因仍以感染為主，但以病毒性感染居多，所以臨床錶現有其特殊性，應予關註。
목적：총결발열사인병백세포계수정상혹감소환자적림상자료여특점，이지도림상진치。방법회고성분석2009년1월～2013년12월간수치적238례발열사인병백세포계수정상혹감소환자적림상표현、상관보조검사、진단치료경과등자료。결과238례환자중이감염성질병거수위점73.8％；기중우이병독성감염최다，점총인수적41.2％，점감염인수적58.7％；악성종류점7.2％；결체조직질병점2.5％；기타질병점14.8％；원인불명점1.7％。결론차류환자경상세순문병사、사체화상응검사，대부분가학진。병인잉이감염위주，단이병독성감염거다，소이림상표현유기특수성，응여관주。
Objective Analyzing and summarizing the characteristics and clinical data of 238 cases of unexplained fever in patients with normal or decreased white blood cell count, to guide the clinical diagnosis and treatment in feverish pa-tients with normal or decreased white blood cell count.Methods In the department of hematology 238 cases of fever in pa-tients with normal or decreased white blood counts have been collected from January 2009 to December 2013.Retrospectively analyze their clinical manifestations, related auxiliary examination, and diagnostic process and treatment.Results 234 cases in the total 238 cases had confirmed diagnoses, of which the rate was 98.3%.Of the total 238 cases, 176 cases (73.8%) were diagnosed with infectious diseases; 17 cases (7.2%) were diagnosed with malignancy; 6 cases (2.5%) were diag-nosed with connective tissue disease;35 cases (14.8%) were diagnosed with other diseases;diagnoses of 4 cases (1.7%) were not confirmed.Conclusion Most patients with fever can have a confirmed diagnosis after a detailed history and physical examination.The main cause of fever is infection.Fevers with normal or decreased white blood cell count have their particular clinical manifestations which should be concerned, targeted and treated accordingly as soon as possible.
