摘要
目的探讨老年发热患者的病因和临床特点。方法对2008年4月-2010年12月北京大学医院老年发热住院患者中最终明确诊断者(包括部分转诊患者)的临床资料进行回顾性总结与分析。结果感染性疾病者37例,占82.2%;肿瘤性疾病5例,占11.1%;自体免疫性疾病3例,占6.7%。在感染性疾病中细菌感染占75.7%,病毒感染占13.5%,其他占10.8%;以上呼吸道感染肺炎、感染性腹泻、尿路感染较为多见,分别占感染性疾病的8.1%,29.7%,18.9%和10.8%。结论感染性疾病仍是老年发热的主要原因,恶性肿瘤及免疫异常在老年发热患者中亦应高度重视。
Objective To probe into the cause and clinical feature of fever in elderly patients.Method Clinical data of elderly patients with a final diagnosis of fever hospitalized in the hospital of peking university from april 2008 to december 2010（including some transferred patients） were summarized and analyzed retrospectively.Results There were 37 cases of infectious disease accounting for 82.2%;there were 5 cases of tumorous disease,accounting for 11.1%;there were 3 cases of autoimmune disease,accounting for 6.7%.Among the infectious disease,bacterial infection accounted for 75.7%,virus infection accounted for 13.5% and others accounted for 10.8%.The most common infectious diseases were upper respiratory tract infection,pneumonia,infectious diarrhea and urinary tract infection with a respective percentage of 8.1%,29.7%,18.9% and 10.8%.Conclusion Infectious disease is the main cause of fever in elderly people,and malignant tumor and dysimmunity in elderly patients with fever should be highly valued.
出处
《保健医学研究与实践》
2012年第4期48-49,共2页
Health Medicine Research and Practice
关键词
老年患者
发热
感染
肿瘤
免疫异常
Elderly patients
Fever
Infection
Tumour
Dysimmunity
