摘要
目的：探讨近年来重庆地区长期不明原因发热（ＦＵＯ）的病因。方法：回顾性地总结分析１９９３年—１９９８年间。我科符合发热待查（ＦＵＯ）诊断标准的患者１２５例。结果：１２５例患者经各种检查或诊断性治疗最后确诊者１０４例，确诊率８３．２％。病因：感染性疾病７４例，占５９．２％，其中结核病１９例，占感染性疾病的２５．８％（１９／７４）。肿瘤性疾病１７例，占１３．６％，结缔组织疾病１０例，占８．０％；其它疾病３例，占２．４％；原因仍未明确者２１例，占１６．８％。诊断方法学分析，常规检查及诊断性治疗是确诊发热待查的主要方法。结论：感染性疾病仍是发热待查的主要原因，结核病发病率有增高趋势。肿瘤性疾病和结缔组织疾病在发热待查中也占有相当比例，恶性组织细胞病和Ｓｔｉｌｌ病是这两类疾病的主要病种。
Objective:To investigate the cause of fever of unkno wn origin (FUO) in Chongqing district. Methods: The clinical data of 125 patients with FUO admitted to The Department of Infectious Diseases, the First Affiliated Hospital of Chongqing Medical University from May 1 993 to May 1998 were analyzed. 68 cases were male and 57 female with an averag e age of 38 years,ranging from 14 to 69. Results： After various d iagnostic measures and treatment, the definite diagnosis was finally made in 104 cases. Among them 74 cases (59.2%)were infections with 19 cases of tuberculosis ; 17 cases (13.6%) were malignant tumors,10 cases(8.0%) were connective tissue diseases，3 cases(2.4%) were due to other diseases, and the cause was still unknown in 21 cases(16.8%) after hospitalization of long duration.Conclusion:Infection was still the main cause of FUO, and the incidence of tuberculosis was the highest among the various infectious diseases as the cause of FUO. Still's disease and histiocytosis were the leading causes of FUO in connective tissue diseases and malignant tumors,respectively.
出处
《重庆医科大学学报》
CAS
CSCD
2001年第3期312-315,共4页
Journal of Chongqing Medical University
关键词
发热
诊断
恶性肿瘤
感染
结缔组织病
Fever of unknown origin
Infections
Malignant tumors
Connecti ve tissue diseases
