摘要
目的探讨不明原因发热(FUO)的病因。方法回顾性分析北京友谊医院感染内科收治的187例符合FUO诊断标准的病例。结果 187例FUO病例最终确诊175例,确诊率93.6%。其中感染性疾病130例,占69.5%(130/187);血管结缔组织疾病18例,占9.6%(18/187);肿瘤及血液系统疾病15例,占8.0%(15/187);其他12例,占6.4%(12/187);出院时仍未确诊l2例,占6.4%(12/187)。结论 FUO的病因中感染性疾病患病率远高于非感染性疾病,其中结核病例数占第一位;而非感染性疾病中,血管结缔组织疾病的患病率最高。经过详细的病史采集和反复的体格检查,辅以必要的化验检查,大部分FUO可以确诊。
Objective To investigate the causes of fever of unknown origin （FUO）. Methods The clinical data were retrospectively an- alyzed from 187 patients with FUO hospitalized in Beijing Friendship hospital. Results Out of the 187 FUO cases, definite diagnosis was eventu- ally achieved in 175 patients （93.6%）. The most common causes of FUO were infectious diseases （69.5% , 130/187）. The other causes were vascular connective tissue diseases （9.6%, 18/187）, tumor and blood system diseases （8.0%, 15/187）, and others （6.4%, 12/187）. However,no definite diagnosis had been made in the remaining 12 （6.4%） cases until they discharged from the hospital. Conclusion Cause of FUO in the incidence of infectious diseases is much higher than non - infectious diseases. In infectious diseases, tuberculosis was the most common cause. In non - infectious diseases, vascular connective tissue disease incidence is higher than others. Following detailed clinical data collections and thorough physical examinations and related auxiliary examination, most of the diagnosis of fever of unknown origin can be clearly diagnosed.
出处
《临床和实验医学杂志》
2012年第21期1742-1745,共4页
Journal of Clinical and Experimental Medicine
关键词
不明原因发热
病因
回顾性分析
fever of unknown ori6n, pathogenesis, retrospective analysis.
