表现为不明原因发热的传染病患者38例临床分析

Clinical analysis of 38 patients with infectious diseases presenting fever of unknown origin

目的对表现为不明原因发热(FUO)的传染病患者38例进行分析,以利于非传染病收治科室防控传染病。方法采用回顾性分析的方法,对首诊我院呼吸内科247例FUO患者最后确诊为国家法定报告传染病的38例患者的临床资料、疾病谱、确诊方法及治疗情况进行分析。结果传染病患者占FUO的15.4%:肺结核占传染病患者首位,占42.1%;传播途径明确占传染病患者的47.3%。最终通过化验检查、侵袭性病理检查及诊断性治疗而明确诊断。结论在收治以FUO为表现的患者时,应警惕并排除传染性疾病的可能。通过仔细采集病史,进行相关病原学化验检查,必要时给予侵袭性病理检查和诊断性治疗即可明确诊断。

Objective To investigate 38 cases of infectious disease presenting as fever of unknown origin （FUO） for the containment of them by the departments of noninfective disease. Methods 38 cases with a final diagnosis of reported communi-cable diseases stipulated by national laws were firstly treated by respiratory department, and their general clinic data, spectrum of disease, diagnostic method and therapeutic information were retrospectively analyzed. Results 15.4% of FUO cases were infectious disease, of which lung tuberculosis ranked the highest accounting for 42.1%. and 47.3% of which had a clear route of transmission. Patients with FUO were diagnosed as infectious disease by means of laboratory examination, invasive pathological examination and diagnostic therapy. Conclusion Communicable diseases should be cautious of and excluded during admission and treatment of patients presenting symptom of FUO. A clear diagnosis can be made by a careful interview of patients, relevant laboratory examinations of aetiology, invasive pathological examinations and diagnostic treatments if necessary.