不明原因发热182例临床分析
数据收集,,],发热，不明原因;诊断；数据收集,1资料和方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨不明原因发热(FUO)的病因分布特点。方法 对符合不明原因发热诊断标准的182例病人资料进行分析研究。结果 182例病人中有153例最终确诊，确诊率为84.1%。病因分布如下：感染性疾病92例(60.1%)，其中结核病51例，位居FUO病因第一位；肿瘤性疾病27例(17.6%)，其中淋巴瘤、白血病占66.7%；结缔组织病23例(15.0%)，其中Still病占52.2%；其他疾病11例(7.2%)，包括坏死性淋巴结炎、药物热、伪热；29例病人最终未被确诊，占15.9%。结论 FUO病人的主要病因是感染性疾病，其中结核病是感染的主要病种。另外，肿瘤性疾病和结缔组织病也是FUO常见的病因。[关键词] 发热，不明原因;诊断；数据收集
FEVER OF UNKNOWN ORIGIN: A CLINICAL ANALYSIS OF 182 CASES
JIANG JING
(Shibei District Hospital of Qingdao, Qingdao 266021, China)
[ABSTRACT]ObjectiveTo investigate the causes of fever of unknown origin(FUO). MethodsThe data of 182 patients who conformed the diagnostic standards of FUO were analyzed. ResultsThe diagnosis was clarified in 153 cases. The causes were as follows: infectious diseases, 92 cases (60.1%), in which, tuberculosis accounted for 51; tumors 27 cases (17.6%),in which, lymphoma and leukemia accounted for 66.7%; connective tissues disease (CTD) 23 cases (15.0%), in which, Stills disease accounted for 52.2%; other causes were found in 7.2%. No definite diagnosis had been made in the remaining 29 cases (15.9%). ConclusionInfectious diseases, tuberculosis in particular, are the most common causes of FUO. Malignant tumors and CVD are other major causes. ......
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