摘要
目的探讨引起不明原因发热(FUO)的致病因素及其构成比。方法分析两年来符合不明原因发热诊断标准的198例患者的临床资料。结果198例中明确诊断者192例,确诊率为96.97%,未确诊者6例,占3.03%。确诊病例中,不明原因发热的病因依次为细菌感染性疾病(44.27%)、自身免疫性疾病(19.27%)、病毒感染性疾病(11.46%)。确诊的有效方法包括细菌学培养、病毒检测、病理检查、影像学检查。结论根据病史、临床经过和必要的辅助检查,可以明确大多数FUO病因诊断。感染性疾病和自身免疫性疾病是本组不明原因发热的主要病因。
Objective To explore the causes of fever of unknown origin（FUO）and constituent ratio. Methods The clinical data of 198 cases with FUO were analyzed. Results The definite diagnosis was finally made in 192 cases（96.97%）. Among them,the bacterium infectious rate was 44.27% ,autoimmune disease rate was 19.27 % and virus infectious rate was 11.46 %. The effective methods to definite diagnosis included germiculture, virus detection, pathology and image. Conclusion Most of the cases with FUO could be diagnosed definitely according to their medical history, clinical course and necessary aided examinations. The infectious diseases and autoimmune diseases were the main causes of FUO in this study.
出处
《青岛医药卫生》
2008年第4期254-256,共3页
Qingdao Medical Journal
关键词
不明原因发热
病因
细菌培养
构成比
Fever of unknown origin（FUO）
Pathogeny
Germiculture
Constituent ratio
