社区发热儿童253例临床回顾分析

The Clinical Retrospective Analysis to 253 Disease Cases for Community Feverish Children

目的探讨发热儿童的病因构成及诊断方法。方法对社区2004年5月——2006年4月发热5天以上的253例患儿,按年龄分为<3岁(96例),3～6岁(78例),>6岁(79例)3组,进行回顾性分析。结果<3岁组的96例中,感染性疾病89例(92.7%),其中呼吸道感染62例(69.6%),其他疾病7例(7.3%)。3～6岁组78例中,感染性疾病76例(97.4%,76/78),其中呼吸道感染49例(64.4%);风湿性疾病1例(1.3%);其他疾病1例(1.3%)。>6岁组79例中,感染性疾病75例(94.9%),其中呼吸道感染43例(57.3%);其他疾病4例(5.1%)。结论社区儿童发热的主要原因来源于感染性疾病,其中主要是呼吸道感染。

OBJECTIVE To discuss the cause and the diagnosis method of the children＇ s fever. METHOD During 2004/05 to 2006/04, we made the retrospective analyses to the child patients who kept a fever over five days.We classify 253 children patients by their ages into three groups, 96 younger-than-three-year patients, 78 from three-to-six-year patients, 79 elder-than-six-year patients. RESULT In the first group, the number of infectant disease is 89 （92.7%）, respiratory infection 62 （69.6%）, other diseases 7 （7.3%） . In the second group, the number of infectant disease is 76 （97.4%）, respiratory infection 49 （64.4%）, rheumatic fever 1 （1.3%） other disease 1 （ 1.3% ） .In the third group, the number of infectant disease is 75 （ 94.9% ）, respiratory infection 43 （ 57.3% ） , other diseases 4 （5.1%）. CONCLUSION The main cause of the children fever is infectant disease. The respiratory infection is the most frequent among the infectant diseases.