摘要
目的分析不明原因发热(FUO)患者诊断方法的选择和病因的确定。方法回顾性分析358例 FUO患者的诊断方法和病因。结果 312例患者经过血清学、细菌学、体液检查、骨髓检查、组织活检、手术探查,并结合临床经过和试验治疗效果明确临床诊断。其中感染性疾病172例(包括细菌感染132例,病毒感染31例,真菌感染6例,其他3例),非感染性疾病143例(包括血管结缔组织病66例,肿瘤性疾病63例,其他疾病14例)。最后仍有46例患者诊断不明。结论对于 FUO 的诊断应该尽量获得病原学、免疫学和病理学的诊断依据,感染性疾病、血管结缔组织病和肿瘤性疾病是 FUO 发病的主要原因。
Objective To analyze the diagnostic methods and etiological factors in patients with fever of unknown origin (FUO).Methods The clinical data of 358 patients with FUO,Who were treated in hospital since February 2001 to April 2005,were retrospectively analyzed.Results Among the 358 patients,312 patients were definitely agnosed(87.2%),A- mong the 312 definitely diagnosis patients,172 cases were infectious disease(132 cases were bacterial infection,31 cases were virus infection,6 eases were fungus infection and 3 cases belonged to other disese),143 cases were bacterial were non-infections disease(66 cases were collagen vascular diseases,63 cases were malignant tumor and 14 cases belonged to other disese).46 cases remained origin-unknown until they were discharged from hospital.Conclusion In the diag- nosis of FUO,We should manage to collect oathogenic,immunologic and pathologic evidences.Infectious diseases,collagen vascular diseases and malignant tumors are the main causes of FUO.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2007年第S2期19-21,共3页
Chinese Journal of Practical Internal Medicine
关键词
发热
不明原因
诊断
病因分析
Fever,unknown origin
Diaganosis
Etiology analysis
