银川市防治SARS期间4881例发热病人的诊断分析  

Diagnostic analysis of 4884 patients with fever during the period of prevention and treatment of SARS in Yinchuan city

作　　者：许旺[1] 姚成立[1] 苏颖[1] 王铁荣[1] 谢振华[1] 杨菲[1] 于涛[1] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001

出　　处：《宁夏医学杂志》2003年第11期659-662,共4页Ningxia Medical Journal

基　　金：宁夏自然科学基金资助项目C1 0 0 4

摘　　要：目的　探讨在防治SARS期间对发热病人迅速准确做出诊断和鉴别诊断的方法。方法　对银川市在防治SARS期间 4 881例发热病人的临床资料进行回顾性分析。结果　 4 881例发热病人中以感染性发热为主占97.97% ,最常见的感染依次为上呼吸道感染 (占 6 3.5 5 % )、急性气管—支气管炎 (占 15 .80 % )、肺炎 (占 8.77% ) ;发热程度以中等热度为主 (占 5 0 .2 4 % ) ,其次为低热 (占 34.4 % )、高热 (占 14 .99% )、超高热 (占 0 .37% ) ;热型主要以稽留热为主 ,其次为不规则热。结论　对发热病人在经过详细采集病史、全面体格检查、实验室检查、胸部X线拍片或CT检查及诊断性治疗之后 ,应用综合性临床思维方法 ,分析判断 ,为SARS病人的初步筛选诊断提供可靠的第一手资料。Objectives To probe the method about making a quick and accurate diagnosis and differential diagnosis for the patient with fever during the period of preventing and treating SARS.Methods The clinic data of 4884 patients with fever during the period of preventing and treating SARS was analysed retrospectively.Results The infection was the major cause of the fever in 4881 patients,which accounted for 97.97%.The most common infection was upper respiratory tract infection(63.55%),acute tracheobronchitis(15.80%) and pneumonia(8.77%).The major fever grade was moderate accounted for 50.24%,next the low-grade fever(accounted for 34.4%),high-grade fever(accounted for 14.99%) and super high-grade fever(0.37%).The type of fever mainly was continuous fever,next the irregular fever.Conclusions After careful history collection,fully physical examination,laboratory test,chest film or CT and diagnostic treatment,by using comprehensive clinic thinking method and analysis judgement,the firsthand data for primary diagnosis of SARS can be achieved.

关 键 词：发热 鉴别诊断 传染性非典型肺炎 

分 类 号：R441[医药卫生—诊断学]