血液病发热134例病因分析  

Etiologic Analysis of Fever in 134 Patients with Hematologic Diseases

作　　者：顾凤英[1] 李自明[1] 

机构地区：[1]上海铁道大学附属甘泉医院血液科,上海200065

出　　处：《上海铁道大学学报》1999年第11期43-45,共3页

摘　　要：目的　探讨血液病发热患者的病因。方法　对134例各种良恶性血液病患者的临床观察和多方寻找其发热原因。结果　134 例中74例(占55.2% )合并感染,以呼吸道感染占首位,共38 例(占感染病例的51.4% ),其次为泌尿道13 例(占17.6% ),余23 例为身体其它部位感染(占31.0% );38 例(占51.4% )找到致病菌。60 例(占44.8% )找不到明确的感染灶,考虑与疾病本身有关。结论　发热是多种血液病的共同表现,首位病因是合并感染(占55.2% ),其次为疾病本身(尤其恶性血液病)Objective To explore the cause of fever occurring in patients with hematologic diseases.Methods Clinical observation was made on 134 cases with benign and malignant hematologic diseases, and the causes of fever were looked for from many aspects.Results Seventy four of 134 cases (55.2%) were found to be complicated with various infections. Among them, the most commonly seen cause was respiratory tract infection (38/74, 51.4%), the second one was urinary infection (13/74, 17.6%), and the remaining 23 cases (31.0%) had infections of other parts of the body. Of 74 patients with infections, 38(51.4%) were identified with pathogenic bacteria. Another 60 cases (44.8%) had no definite infection foci and were considered to be related to the diseases themselves.Conclusion Fever is a commonly seen symptom of many hematologic diseases.The first place of the cause is infection.The next is hematologic diseases themselves,especially occurring in malignant cases.

关 键 词：血液病 发热 病因 

分 类 号：R552.06[医药卫生—血液循环系统疾病] R441.3[医药卫生—内科学]