摘要
【目的】分析大型综合型医院急诊成人不明原因发热（FUO）患者的病因、临床特点及规律，为临床诊治提供参考。【方法】回顾性分析本院急诊2007年1月至2009年12月期间150例FUO患者在年龄，性别，发热持续时间，白细胞计数，病因分布规律，预后等方面的差异，了解其临床特点。【结果】150例患者，确诊率89．3％（134／150）。按病因分为感染性疾病（50．7％，76／150），肿瘤性疾病（14％，21／150），免疫性疾病（15．3％，23／150），其他（9．3％，14／150），诊断不明性疾病（10．7％，16／150）。从年龄上分析，急诊不明原因发热（FU0）以老年病人多见，60以上占44％（66／150）。发热热程在一个月内的病人占54％（81／150），其中感染性疾病占一个月内发热患者的80．2％（120／150）。白细胞减少的病例40例，以免疫性疾病、肿瘤性疾病多见。【结论】感染是急诊FUO最主要的发病因素，急诊不明原因发热患者有自身的病因分布规律及特点。
[Objective]To analyze the causes and clinical features and rule of fever of unknown origin （FUO） in adult patients at emergency department of large general hospital in order to provide the reference for clinical diagnosis and treatment. [Methods]The clinical data of 150 adult patients with FUO at emergency department in our hospital from January 2007 to December 2009 were analyzed retrospectively. The difference of age, sex, fever duration, leukocyte count, the etiological distribution and prognosis were investigated to understand the clinical features of emergency FUO. [Results] Among 150 patients, the final diagnosis rate was 89.3% and the mortality rate was 8.0%. The causes included infection（50.7%）, malignancy（14%）, autoim mune diseases（15.3 %）, undetermined diagnosis（10.7%） and the others（9.3%）. The analysis of age showed that emergency FUO was commonly seen in old patients, and the patients over 60 years old occupied 44%. The patients with fever duration in a month occupied 54% in which the infection patients with fever duration in a month occupied 80.2% There were 40 patients with leucopenia in which immune disease and malignancy were frequent. [Conclusion] Infection is the most main cause for emergency FUO. The patients with emergency unknown fever have their own the etiological distribution patterns and features.
出处
《医学临床研究》
CAS
2010年第12期2251-2253,共3页
Journal of Clinical Research
关键词
发热
原因不明
医院
综合
急症
fever of unknown origin
hospitals,general
emergencies
