以发热为主诉患者临床分析54例

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.