老年急性发热住院患者的病因分析

Analysis of disease of hospitalized older patients with acute fever

目的探讨老年急性发热住院患者的病因。方法回顾性分析2010年6月1日至2011年5月31日因急性发热入住我院接受治疗的800例老年患者的临床资料。结果感染性发热患者676例(84.50%),其中呼吸系统疾病385例(48.13%)、消化系统139例(17.38%)、卒中相关性感染61例(7.63%)、泌尿系统疾病50例(6.25%)。非感染性疾病占124例(15.50%),其它为常见肿瘤疾病57例(7.13%)、结缔组织病13例(1.63%),另有37例患者(4.63%)具体发热病因不清楚。结论感染性疾病是老年急性发热入院的主要病因,尤其以呼吸道肺部感染多见、并随着年龄的增加肺部感染的发病率进一步增加。老年人急性发热患者显示有自身的病因及特点。

Objective To investigate the spectrum of hospitalized older patients with acute fever. Methods The clinical data of 800 cases of hospitalized older patients with acute fever in the people＇ s hospital of Xinjiang Uighur Autonomous Region from June 1, 2010 to May 31, 2011 were analyzed retrospectively. According to the age, 800 cases were divided into three groups. Results The primary cause of patients with acute fever was infectious disease （676/84.50%）. Among the spectrum of infectious diseases, the first leading cause was respiratory disease （385/48.13%）, followed by digestive disease （139/17.38%）, stroke-associated infection（61/7.63% ）, urinary system disease （50/6. 25% ）. Non-infectious diseases account for （ 124/ 15.5% ）, its common diseases were as follows： tumor （57/7.13%） , connective tissue disease （13/1.63%）. Part of the patients＇ s etiology （37/4.63%） was not confirmed. Conclusion Infectious disease is the main cause of the acute fever in hospitalized older patients. The elderly patients with acute fever has its own pathogen distribution laws and clinical features.