发热待查125例分析

卓超; 王其南; 黄文平

doi:10.13406/j.cnki.cyxb.2001.03.029

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发热待查125例分析

更新时间：2024-01-17

- 发热待查125例分析
- A clinical analysis of 125 cases with fever of unknown origin
- 重庆医科大学学报 2001年第3期页码：312-315
- 作者机构：
  
  1. 重庆医科大学临床学院感染科
  2. 奉节县人民医院传染科,重庆,400016
  3. 奉节,404600
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2001.03.029
  中图分类号： R441.3
- 纸质出版日期：2001，
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[1]卓超,王其南,黄文平.发热待查125例分析[J].重庆医科大学学报,2001(03):312-315.

ZHUO Chao, et al. A clinical analysis of 125 cases with fever of unknown origin[J]. Journal of Chongqing Medical University, 2001,(3):312-315.
[1]卓超,王其南,黄文平.发热待查125例分析[J].重庆医科大学学报,2001(03):312-315. DOI： 10.13406/j.cnki.cyxb.2001.03.029.

ZHUO Chao, et al. A clinical analysis of 125 cases with fever of unknown origin[J]. Journal of Chongqing Medical University, 2001,(3):312-315. DOI： 10.13406/j.cnki.cyxb.2001.03.029.

摘要

目的：探讨近年来重庆地区长期不明原因发热（ＦＵＯ）的病因。方法：回顾性地总结分析１９９３年—１９９８年间。我科符合发热待查（ＦＵＯ）诊断标准的患者１２５例。结果：１２５例患者经各种检查或诊断性治疗最后确诊者１０４例，确诊率８３．２％。病因：感染性疾病７４例，占５９．２％，其中结核病１９例，占感染性疾病的２５．８％（１９／７４）。肿瘤性疾病１７例，占１３．６％，结缔组织疾病１０例，占８．０％；其它疾病３例，占２．４％；原因仍未明确者２１例，占１６．８％。诊断方法学分析，常规检查及诊断性治疗是确诊发热待查的主要方法。结论：感染性疾病仍是发热待查的主要原因，结核病发病率有增高趋势。肿瘤性疾病和结缔组织疾病在发热待查中也占有相当比例，恶性组织细胞病和Ｓｔｉｌｌ病是这两类疾病的主要病种。

Abstract

Objective:To investigate the cause of fever of unkno wn origin (FUO) in Chongqing district. Methods: The clinical data of 125 patients with FUO admitted to The Department of Infectious Diseases

the First Affiliated Hospital of Chongqing Medical University from May 1 993 to May 1998 were analyzed. 68 cases were male and 57 female with an averag e age of 38 years

ranging from 14 to 69. Results： After various d iagnostic measures and treatment

the definite diagnosis was finally made in 104 cases. Among them 74 cases (59.2%)were infections with 19 cases of tuberculosis ; 17 cases (13.6%) were malignant tumors

10 cases(8.0%) were connective tissue diseases，3 cases(2.4%) were due to other diseases

and the cause was still unknown in 21 cases(16.8%) after hospitalization of long duration.Conclusion:Infection was still the main cause of FUO

and the incidence of tuberculosis was the highest among the various infectious diseases as the cause of FUO. Still’s disease and histiocytosis were the leading causes of FUO in connective tissue diseases and malignant tumors

respectively.

关键词

发热待查感染恶性肿瘤结缔组织病

Keywords

Fever of unknown originInfectionsMalignant tumorsConnecti ve tissue diseases

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