不明原因发热病因诊断的临床分析

Clinical analysis of causative diagnosis of unkown fever.

目的探讨83例以不明原因发热(FUO)为主要症状者的病因构成、临床特点及诊疗体会。方法回顾性分析1998～2006年以FUO入院的83例患者的临床资料。结果83例患者中感染性疾病46例,占55.4%,其中细菌感染39例(结核菌感染9例),病毒感染7例;肿瘤性疾病15例,占18.1%,其中淋巴瘤6例;风湿性疾病13例,占15.7%,其中成人Still’s病3例,系统性红斑狼疮2例。结论不明原因发热(FUO)的病因诊断主要是感染性疾病,肿瘤性疾病,风湿性疾病,应尽量寻找诊断线索,明确病因。

Objective To prode causes,clinical characteristics and diagnosis of 83 cases with fever of unknown origin （FUO）. Methods There 80 cases with FUO hospitalized in 1998 - 2006 were retrospectively analyzed. Results Forty-six cases were with ihfectious diseases （55.4%）, including 30 bacterial infection cases, 9 tuberculosis cases and 7 viral infection cases. Fifteen cases were with tumour disease （ 18.1% ）, including 6 lymphoma cases. Thirteen rheumatic disease cases （ 15.7% ）, including 3 adult Still＇s disease cases, 3 SLE cases ses. Conclusion The major etiological diagnosis of the fever of unknown origin is infectious diseases, neoplastic disease and beriberoid disease. The clinician should fred out the cause of the disease for making accurate diagnosis.