风湿免疫科出现不明原因发热的病因和诊断分析

Diagnostic Analysis of The Cause of Fuo in Rheumatism Department

目的探讨风湿免疫科不明原因发热的病因和诊断方式。方法选取我院符合风湿免疫科不明原因发热诊断标准的20例患者的临床资料进行回顾性分析。结果 20例患者中确诊16例,确诊率为84.2%,1例未治,3例未明确诊断。16例确诊病例中5例为干燥综合征,3例为感染后炎症综合征,2例为肌炎,2例为混合结缔组织病,2例为成人Still病,1例为布氏杆菌病,1例为大骨节病。20例患者中,1例未治,1例患者在住院10天后仍然发热未愈,患者主动要求出院,没有进行进一步的治疗;其余18例患者均在住院期间体温恢复正常后出院。结论 不断地总结风湿免疫科不明原因发热的病因、临床特点和诊断思路,对于提高风湿免疫科不明原因发热的诊断率具有重要的意义。

Objective To explore the etiology and diagnosis of unexplained fever in rheumatism immunity branch. Method Selected 20 cases of unexplained fever in rheumatism immunity branch of our hospital and retrospective analysis their clinical data. Result Confirmed 16 cases in 20 cases of patients, the definite diagnosis was 84.2%, 1 case did not treat and 3 cases no definitive diagnosis. Among 16 case of confirmed case, 5 cases were sicca syndrome, 3 cases were infiammatory syndrome after infection, 2 cases were myositis, 2 cases of mixed connective tissue disease, 2 cases of adult still disease, 1 case of Brucellosis, 1 case of Kashin-Beck disease. In 20 cases of patients, 1 case did not treat, 1 case of patient with fever still not cured after being hospitalized for 10 days, the patients asked for discharging from the hospital, offer no further treatment. The rest 18 cases of patients temperature returned to normal after hospital discharge in duration of hospital stay. Conclusion Constantly summarize the etiology, clinical characteristics and diagnostic strategy of fever with undetermined origin in the rheumatism immunity branch, had great significance to improve the diagnosis of unexplained fever in the rheumatism immunity branch.