不明原因发热108例病因分析

Cause analysis of 108 cases with fever of unknown origin

目的:探讨不明原因发热(FUO)的病因。方法:对符合FUO诊断标准的108例病因作回顾性分析。结果:108例中97例确诊,确诊率89.8%。病因为感染性疾病58例,其中结核病19例;结缔组织病-炎性血管性疾病18例,其中成人Still病7例;肿瘤性疾病16例,其中淋巴瘤6例;其他疾病5例。结论:感染性疾病是FUO患者的主要病因,结核病是主要病种。结缔组织病-炎性血管性疾病和肿瘤性疾病是FUO常见病因。

Objective：To investigate the causes of fever of unknown origin（FUO）.Methods：The clinical data of 108 cases fulfilled the criteria of FUO were retrospectively analyzed in our hospital.Results：The diagnosis of FUO was clarified in 97 cases out of all 108 cases.The causes were as follows：Fifty-eight cases were suffered from infectious diseases,in which,tuberculosis was 19 cases.Eighteen cases were suffered from connective tissue diseases,in which,adult Stills disease was 7 cases.Sixteen cases were suffered from tumors,in which,lymphoma was 6 cases.Other causes were found in 5 cases.Conclusions：Infectious diseases,especially tuberculosis,are the most common causes of FUO.Connective tissue diseases and tumors are other major causes.