医学信息
醫學信息
의학신식
Medical Information
2015年
z2期
147-147
,共1页
发热%老年人%诊断%病因%临床特征
髮熱%老年人%診斷%病因%臨床特徵
발열%노년인%진단%병인%림상특정
Fever%Elderly people%Diagnosis%Etiology%Clinical characteristics
目的：分析老年人发热性疾病的病因与临床特征。方法收集阿合奇县人民医院2011年1月~2014年4月以发热为首发临床表现住院、资料完整且符合发热诊断标准的患者87例，进行回顾性分析。结果87例患者中，感染性疾病44例，结缔组织病4例，恶性肿瘤9例，其他疾病5例，诊断不明25例。感染性疾病中结核病占6例(13.6%)。B超、X线胸片、CT、MRI、骨髓穿刺、组织活检检查的确诊率分别为21.1%、16.9%、63.0%、0、16.7%、57.1%。结论老年人发热性疾病由于症状不典型，诊断较困难。感染性疾病仍然是老年人主要的发热原因。在临床诊断过程中耐心的、关切的询问患者是否存在病史、对患者实施常规的检查，对于在临床中正确诊断发热性疾病具有十分重要的作用。在诊断的早期合理使用各种辅助技术进行检查，亦对疾病有一定的诊断帮助效果。
目的：分析老年人髮熱性疾病的病因與臨床特徵。方法收集阿閤奇縣人民醫院2011年1月~2014年4月以髮熱為首髮臨床錶現住院、資料完整且符閤髮熱診斷標準的患者87例，進行迴顧性分析。結果87例患者中，感染性疾病44例，結締組織病4例，噁性腫瘤9例，其他疾病5例，診斷不明25例。感染性疾病中結覈病佔6例(13.6%)。B超、X線胸片、CT、MRI、骨髓穿刺、組織活檢檢查的確診率分彆為21.1%、16.9%、63.0%、0、16.7%、57.1%。結論老年人髮熱性疾病由于癥狀不典型，診斷較睏難。感染性疾病仍然是老年人主要的髮熱原因。在臨床診斷過程中耐心的、關切的詢問患者是否存在病史、對患者實施常規的檢查，對于在臨床中正確診斷髮熱性疾病具有十分重要的作用。在診斷的早期閤理使用各種輔助技術進行檢查，亦對疾病有一定的診斷幫助效果。
목적：분석노년인발열성질병적병인여림상특정。방법수집아합기현인민의원2011년1월~2014년4월이발열위수발림상표현주원、자료완정차부합발열진단표준적환자87례，진행회고성분석。결과87례환자중，감염성질병44례，결체조직병4례，악성종류9례，기타질병5례，진단불명25례。감염성질병중결핵병점6례(13.6%)。B초、X선흉편、CT、MRI、골수천자、조직활검검사적학진솔분별위21.1%、16.9%、63.0%、0、16.7%、57.1%。결론노년인발열성질병유우증상불전형，진단교곤난。감염성질병잉연시노년인주요적발열원인。재림상진단과정중내심적、관절적순문환자시부존재병사、대환자실시상규적검사，대우재림상중정학진단발열성질병구유십분중요적작용。재진단적조기합리사용각충보조기술진행검사，역대질병유일정적진단방조효과。
Objective To analyze the causes and clinical characteristics of fever disease in elderly patients. Methods 2011-01~2014-04 was col ected from 87 patients with fever as the first clinical manifestation of hospitalization, data integrity and compliance with fever diagnostic criteria, cases were retrospectively analyzed. Results Among the 87 cases, 44 cases of infectious diseases, 4 cases of connective tissue diseases, 9 cases of malignant tumors, 5 cases of other diseases, 25 cases of diagnosis of unknown. Tuberculosis accounted for 6 cases (13.6%) in infectious diseases. The diagnosis rate of B ultrasonic, X-ray film, MRI, CT, bone mar ow biopsy and biopsy examination were 21.1%, 16.9%, 63%, 0, 16.7%, 57.1%, respectively. Conclusion The diagnosis is dif icult because the symptoms are not typical in the elderly. Infectious diseases are stil the main cause of fever in the elderly. In the process of clinical diagnosis, patient, concerned about the patient's history, the implementation of routine examination, for the correct diagnosis of the disease in the clinic has a very important role. In the diagnosis of the early use of a variety of diagnostic techniques for the examination, but also for the disease has a certain diagnostic help ef ect.
