发热病例疾病谱的回顾性分析  

Retrospective analysis of disease spectrum of fever patients.

作　　者：郭晓琳[1] 高燕[1] 杨霞[1] 陈美芳[1] 朱建莹[1] 郗萌[1] 孙春玲[1] 魏来[1] 

机构地区：[1]北京大学人民医院感染科北京大学肝病研究所,北京100044

出　　处：《中国实用内科杂志》2007年第5期376-378,共3页Chinese Journal of Practical Internal Medicine

基　　金：国家"973"项目(2005CB522902)

摘　　要：目的探索综合医院发热门诊发热病例的疾病谱,重点分析传染病病例的流行病学特征。方法采用回顾性分析方法,对2005年6月至2006年5月间就诊于北京大学人民医院发热门诊的15081例发热患者,做疾病谱和流行病学特征分析。结果发热病例的疾病谱中,第一位的是呼吸道感染(78.22%),其后依次是特定人群的感染(10.50%)、急性胃肠炎(3.57%)、明确病因的其他部位感染(2.82%)、传染病(2.30%)、泌尿系感染(2.06%)和不明原因发热(0.53%);在传染病疾病谱中,排在第一位的是感染性腹泻(29.97%),其后依次是麻疹(24.78%)、肺结核(11.24%)等。结论综合医院发热门诊发热病例的疾病谱比较复杂,掌握发热病例中传染病的流行病学特征,有助于发热门诊对法定传染病的筛查和防控。Objective To describe the disease＇s spectrum of fever patients ,especially to analyze the epidemic characterization of infectious diseases, to offer the proof for fever department in screening of infectious diseases. Methods A total of 15081 patients were analyed for patients presenting to the Infectious Diseases Department,People＇s Hospital ,Peking University, between June 2005 to May 2006. A retrospective study was used to analyze the disease＇s spectrum and epidemic characterization. Results Among the disease＇s spectrum of fever patients, the first leading cause was respiratory diseases （78. 22% ） ,followed by infection with the special patients（ 10. 50% ） ,acute gastroenteritis（3.57% ） ,the infection at other site with etiological factor determined （2. 82% ） ,infectious diseases （2. 30% ） , urinary system infection （2. 06% ） and fever of unknown origin（0. 53% ） , respectively;Among the spectrum of infectious diseases, the first leading cause was infectious diarrheal disease （ 29.97% ） , followed by measles （ 24. 78% ） , lung tuberculosis （ 11.24% ）. Conclusion The spectrum of fever is complex. To obtain the epidemic characterization of infectious diseases, it＇s helpful to the fever department to screen and prevent the infectious diseases.

关 键 词：发热 疾病谱 回顾性分析 

分 类 号：R5[医药卫生—内科学]