中华传染病杂志
中華傳染病雜誌
중화전염병잡지
CHINESE JOURNAL OF INFECTIOUS DISEASES
2014年
6期
349-352
,共4页
肖二辉%康谊%魏君锋%曹永革%侯环荣%曹青%尚佳
肖二輝%康誼%魏君鋒%曹永革%侯環榮%曹青%尚佳
초이휘%강의%위군봉%조영혁%후배영%조청%상가
发热,原因不明%病因%感染%回顾性研究
髮熱,原因不明%病因%感染%迴顧性研究
발열,원인불명%병인%감염%회고성연구
Fever of unknown origin%Causes%Infection%Retrospective studies
目的 探讨不明原因发热的病因及其与感染性疾病的关系,为临床经验治疗提供依据.方法 回顾性分析2009年6月1日至2013年5月31日河南省人民医院收治的374例不明原因发热患者的性别、年龄、发热原因及患者分布科室等临床资料.结果 374例患者中经各种检查或诊断性治疗最终明确诊断者327例,确诊率为87.4%.感染性疾病209例,占55.9%,其中结核病78例(20.9%),布鲁菌感染23例(6.1%),立克次体感染19例(5.1%);非感染性疾病118例,占31.6%,其中结缔组织病47例(12.6%),血液病37例(9.9%),实体肿瘤13例(3.5%).出院时仍未确诊者47例,占12.6%.结论 感染性疾病是不明原因发热患者的主要病因,结核病是其中的主要病种,布鲁菌感染和立克次体感染也占有相当大的比例,大多数不明原因发热经细致的临床资料分析,结合相关实验室检查是可以确诊的.
目的 探討不明原因髮熱的病因及其與感染性疾病的關繫,為臨床經驗治療提供依據.方法 迴顧性分析2009年6月1日至2013年5月31日河南省人民醫院收治的374例不明原因髮熱患者的性彆、年齡、髮熱原因及患者分佈科室等臨床資料.結果 374例患者中經各種檢查或診斷性治療最終明確診斷者327例,確診率為87.4%.感染性疾病209例,佔55.9%,其中結覈病78例(20.9%),佈魯菌感染23例(6.1%),立剋次體感染19例(5.1%);非感染性疾病118例,佔31.6%,其中結締組織病47例(12.6%),血液病37例(9.9%),實體腫瘤13例(3.5%).齣院時仍未確診者47例,佔12.6%.結論 感染性疾病是不明原因髮熱患者的主要病因,結覈病是其中的主要病種,佈魯菌感染和立剋次體感染也佔有相噹大的比例,大多數不明原因髮熱經細緻的臨床資料分析,結閤相關實驗室檢查是可以確診的.
목적 탐토불명원인발열적병인급기여감염성질병적관계,위림상경험치료제공의거.방법 회고성분석2009년6월1일지2013년5월31일하남성인민의원수치적374례불명원인발열환자적성별、년령、발열원인급환자분포과실등림상자료.결과 374례환자중경각충검사혹진단성치료최종명학진단자327례,학진솔위87.4%.감염성질병209례,점55.9%,기중결핵병78례(20.9%),포로균감염23례(6.1%),립극차체감염19례(5.1%);비감염성질병118례,점31.6%,기중결체조직병47례(12.6%),혈액병37례(9.9%),실체종류13례(3.5%).출원시잉미학진자47례,점12.6%.결론 감염성질병시불명원인발열환자적주요병인,결핵병시기중적주요병충,포로균감염화립극차체감염야점유상당대적비례,대다수불명원인발열경세치적림상자료분석,결합상관실험실검사시가이학진적.
Objective To summarize the causes of patients with fever of unknown origin (FUO) and to analyze the relationship between infectious diseases and FUO,in order to provide envidence for experiential therapy.Methods Clinical data of 374 FUO inpatients at He'nan Provincial People's Hospital from June 1,2009 to May 31,2013,including gender,age,diagnosis and department were analyzed retrospectively.Results Three hundred and twenty-seven cases among the overall 374 FUO patients (87.4%) were eventually etiological diagnosed based on supplementary examinations or diagnostic treatment.As for the causes of fever,209 were infection,accounting for 55.9%,among which 78 cases (20.9%) were diagnosed with tuberculosis,23 cases (6.1%) brucellic diseases,19 cases (5.1%) rickettsia infection.Meanwhile,the noninfectious diseases,such as connective tissue diseases (47,12.6%),hematonosis (37,9.9%) as well as the solid tumors (13,3.5%) also constituted considerable shares of the causes for FUO.However,the causes of 47 cases (12.6%) were not identified before discharge.Conclusions Infectious diseases are the main cause of FUO,in which tuberculosis accounts for the majority.Brucellosis and rickettsia infection also account for a considerable proportion.The causes of most FUO cases could be identified through detailed analysis of clinical data and supplemental examinations.