近10年中文文献报道的不明原因发热病例病因分析  

Analysis of etiology of unexplained fever cases reported in Chinese literature in the past 10 years

作　　者：翟盼盼 陆坚 ZHAI Pan-pan;LU Jian(Shenzhen University General Hospital,Guangdong Shenzhen 518055,China)

机构地区：[1]深圳大学总医院,深圳518055

出　　处：《新发传染病电子杂志》2018年第4期221-224,共4页Electronic Journal of Emerging Infectious Diseases

基　　金：深圳市科技计划项目(JCYJ20150402111430617);深圳市战略性新兴产业发展专项资金(深发改【2015】1709号)

摘　　要：目的探讨近十年来各地发热原因不明(fever of unknown origin,FUO)的病因,为临床诊断和治疗FUO提供参考。方法回顾性总结近10年来我国2444例发热待查的临床资料。结果 2444例中,2195例做出了明确诊断,确诊率为89.9%;确诊的2195例患者中,感染性疾病1300例,占53.2%,非感染性疾病895例,占46.8%。结论发热待查患者病因复杂,多数发热待查患者经仔细的询问病史、体格检查及实验室分析可明确诊断。病因以感染性疾病为主,结缔组织病、肿瘤次之。对于发热待查患者除常规检查外,应及时反复进行病原学、影像学及病理学检查,以利疾病的早期诊治。Objective To explore the causes of fever of unknown origin(fever of unknown origin,FUO)in various regions in recent 10 years and provide reference for clinical diagnosis and treatment of FUO. Methods Retrospectively reviewed the clinical data of 2444 cases of fever in China in the past 10 years. Results Out of 2444 cases,2195 cases had been diagnosed with a confirmed diagnosis rate of 89.9%. Of the 2195 cases diagnosed,1,300 cases were infectious diseases,accounting for 53.2%,and 895 cases were non-infectious diseases,accounting for 46.8%. Conclusion The etiology of patients with fever is unclear. Most patients with fever should be diagnosed by reviwing careful medical history,physical examination and laboratory analysis. The main cause of the fever of unknown originis infectious diseases,followed by connective tissue diseases and tumors. For fever patients,apart from routine examination,etiology,imaging,and pathology should be repeated in time for the early diagnosis of the disease.

关 键 词：发热原因不明 感染 结缔组织 肿瘤 

分 类 号：R441.3[医药卫生—诊断学]