摘要
目的探讨发热待查的病因。方法进行回顾性分析2003年1月至2004年12月我院住院诊治的符合不明原因发热(FUO)诊断标准的患者171例病例资料。结果171例患者经各种检查或诊断性治疗最终明确诊断。病因包括:感染性疾病135例(78.9%),其中败血症69例占51.1%(69/135),结核病22例占16.3%(22/135);结缔组织病24例(14.1%),其中全身性红斑狼疮16例占66.7%(16/24),皮肌炎4例占16.7%(4/24);肿瘤性疾病12例(7.0%),其中淋巴瘤4例占33.3%(4/12),白血病3例占25.0%(3/12)。结论感染性疾病是本组FUO患者的主要病因,败血症和结核病是其中的主要病种,结缔组织病和肿瘤性疾病在本组FUO病因中也占重要地位,大多数FUO经仔细的临床检查是可以得到确诊的。
Objective To investigate the cause of fever of unknown origin(FUO).Methods The clinical data were retrospectively analyzed from patients with FUO hospitalized Affiliated To the Third Hospital of Wenzhou Medical College from January 2003 to December 2004.During that period of time,171 cases fulfilled the criteria of FUO.Results The most common causes of FUO were infectious disease(78.9%),with septicemia and tuberculosis accounting for 51.1% and 16.3% of cases of infection.Twenty-four patients(14.1%) were suffered form collagen vascular disease,with systemic lupus erythematous and dermatomyositis accounting for 66.7% and 16.7% of this category,respectively.7.0%(12/171)of the FUO cases were diagnosed as malignancy. Conclusion In the most FUO cases the causes can be diagnosed eventually after careful analysis of clinical data.While infectious disease,especially septicemia and tuberculosis,were still the most common causes of FUO,collage vascular disease and malignancy were also major cause of FUO.
出处
《福建医药杂志》
CAS
2005年第3期39-40,共2页
Fujian Medical Journal
