95例发热待查病因分析  

Etiological analysis of 95 patients with fever of undetermined origin

作　　者：龚启明[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院感染科,上海200025

出　　处：《内科理论与实践》2016年第5期278-280,共3页Journal of Internal Medicine Concepts & Practice

摘　　要：目的:总结分析最近2年住院发热待查患者的病因,为临床诊断治疗提供参考。方法:收集我院感染科2014年9月—2016年8月体温38.5℃以上、持续时间2周以上所有符合标准的患者95例,根据出院诊断和实验室检测结果,分析患者发热原因。结果:感染性疾病69例(72.63%),非感染性疾病21例(22.11%),不明原因者5例(5.26%)。感染性疾病中细菌感染最多(66.67%),病毒感染其次(21.74%),所有感染性疾病中,病原学明确者接近一半(47.83%)。非感染性疾病中,结缔组织病最多(52.63%)。所有病例中有明确实验室证据者占51.58%。结论:感染科发热待查主要病因仍然以感染性疾病为主,目前快速准确的诊断在一定程度上仍然依赖以临床综合分析为主,实验室病原学诊断方法有待提高。Objective To analysis the etiology of 95 patients with fever of undetermined origin（FUO） for providing a reference for facilitating clinical diagnosis and treatment. Methods Ninety five patients with fever more than 38.5℃ and lasting more than 2 weeks from September 2014 to August 2016 were collected. The etiology of fever was analyzed accord-ing to discharge diagnoses and laboratory results. Results Infectious diseases accounted for 69 cases（72.63%）, non-infectious diseases 21 cases（22.11%）, undetermined origin 5 cases（5.26%）. Among the infectious diseases, bacterial infection was the most common（66.67%）, viral infection the next（21.74%）. Meanwhile, those with origin determined were close to half（47.83%）. Among the non-infectious diseases, connective tissue disease was the most common（52.63%）. In all 95 cases, 51.58% had laboratory evidence. Conclusions The major etiology of FUO in department of infectious diseases is infectious diseases. Quick and accurate diagnosis to a certain extent remains to be dependent on comprehensive clinical analysis, and laboratory diagnosis of pathogens needs to be improved.

关 键 词：发热待查 感染性疾病 非感染性疾病 不明原因 

分 类 号：R441.3[医药卫生—诊断学]