摘要
目的:分析54例以发热为主诉,而不伴明显系统症状的患者最后确诊病因,为今后临床工作提供诊断思路。方法:收治以发热为主诉,不伴明显系统症状患者54例,对其进行病因分析,总结临床思路。结果:54例患者中,确诊51例,确诊率94.4%,其中感染性发热49例(90.7%),其中病毒感染18例(33%),细菌感染28例(52.3%),结核1例(1.8%),寄生虫1例(1.8%),为发热主要病因。而非感染性发热2例(3.7%),其中肿瘤1例(1.85%),结缔组织病1例(1.85%),未确诊病例3例(5.5%)。结论:发热原因仍以感染性疾病为主,其次依次是结缔组织病,血液系统疾病,肿瘤性发热。
Aim:We analyzed 54 patients with fever as the chief complaint and without any obvious systemic symptom,trying to get some clinical ideas.Methods:We investigated these 54 patients in our clinical division between 2009 and 2010,who had a fever as the chief complaint and without any systemic symptom,mainly,in the etiological field.Results:51 in 54 patients(94.4%)got a final diagnosis.49 cases (90.7%) were diagnosed as infectious fever,in which virus infection accounted for 33%(18),bacteria infection 52.3%(28),tuberculosis 1.8%(1),and parasite infection 1.8% (1).Non-infectious fever accounted for 3.7%(2),with neoplasm and connective tissue disease(CTD)each.Conclusion:Infectious factors took the most causes in fever,followed by CTD,hematological system,and neoplasm.
关键词
发热
不伴系统症状
病因
感染性疾病
诊断
Fever
Without systemic symptoms
Etiological factors
Infectious disease
Diagnosis