发热待查348例临床分析  

The clinical analysis of 348 cases patients of fever with unknown origin

作　　者：司纪明[1] 陈春艳[1] 马东波[1] 张佳[1] 夏杰[1] 吴志强[1] 王静[1] 

机构地区：[1]郑州大学第一附属医院呼吸与危重症医学科,河南郑州450052

出　　处：《河南医学研究》2011年第4期449-451,共3页Henan Medical Research

摘　　要：目的:探讨发热待查的病因和诊断方法。方法:回顾性分析发热待查住院患者348例的病例资料。结果:348例患者最终确诊323例,占92.8%,其中感染性疾病、结缔组织病和肿瘤所占比例最高。确诊病例的疾病类型与患者的年龄(χ2=32.252,P=0.0001)、性别(χ2=18.763,P=0.0031)、发热程度(χ2=6.831,P=0.047)及发热时间(χ2=107.492,P=0.005)有关。结论:感染性疾病、结缔组织病和肿瘤是发热待查的主要原因,发热待查确诊病例与患者年龄、性别、发热时间、发热程度等因素有关。Objective： To study the etidogy and diagnostic method of fever with unknown origin. Methods： Through the retrospective analysis about the 348 cases of fever with unknown origin. Results： In all 348 cases,323 cases were given the final diagnosis.The positive rate was 92.8%.infection,connective tissue disease and the tumor were the highest proportion.The diagnosis were correlated with age（χ2=32.252,P=0.0001）,sex（χ2=18.763,P=0.0031）,level（χ2=6.831,P=0.047） and time（χ2=107.492,P=0.005）. Conclusion： Infection,tumor and connective tissue disease are the important pathogen of fever,and the diagnosis is related to age,sex,persistant fever time,degree and so on.

关 键 词：发热 病因分析 感染 

分 类 号：R441.3[医药卫生—诊断学]