摘要
目的:探讨社区成人发热的病因构成以及疾病的早期诊断。方法:2010年5月-2012年4月收治发热3 d以上患者475例,按年龄分为18~39岁(132例),40~59岁(178例),≥60岁(165例)3组,进行回顾性病因构成分析。结果:18~39岁组132例中,感染性疾病91例(68.9%),其中上呼吸道感染为主65例(71.4%)。40~59岁组178例,感染性疾病134例(69.8%),其中上呼吸道感染为主45例(25.3%)。≥60岁(165例)感染性疾病86例,其中肺炎36例(21.8%)为首位。其中中青年组鼻窦炎均占到第3位,3组随年龄增加肿瘤肺癌逐步增加,且随着年龄增长发热病因不明上转例数也有所增加。结论:社区成人发热主要以感染性疾病为主,其中中青年组以上呼吸道感染为主,≥60岁(165例)组发热以肺部感染为主,感染性疾病中寒冷地区鼻窦炎比例在中青年组阶段均占到前3位,同时应注意老年组患者肿瘤肺癌发生逐步上升,且高龄患者不明原因发热上转率较高。
Objective:To explore the etiology constitute of community adult fever for the early diagnosis of the disease.Methods:475 patients with fever 3 days or more were selected from May 2010 to April 2012.They were divided into 3 groups of 18~39years old(132 cases),40~59 years old(178 cases),more than 60 years old(165 cases).The etiology constitute was retrospectively analyzed.Results:In 132 cases of 18~39 years old group,91 cases(68.9%) were infectious disease,among which 65 cases(71.4%)of upper respiratory infection were major.In 178 cases of 40~59 years old group,134 cases(69.8%) were infectious disease,among which 45 cases(25.3%) of upper respiratory infection were major.In more than 60 years old(165 cases),86 cases were infectious disease,among which 36 cases(21.8%) of pneumonia were primacy.In the young and middle-aged group,sinusitis were accounted for third;lung cancer gradually increased along with the age increased in 3 groups;the transfer number on the fever unknown etiology increased along with the age increased.Conclusion:Community adult fever mainly in infectious diseases,the upper respiratory infection is major in the young and middle-aged group.The pulmonary infection is major in the more than 60 years old(165 cases) group.In the infectious diseases,the sinusitis proportion of cold region in the young and middle-aged group were accounted for 3.At the same time,we should be paid to the lung cancer gradually rise in the elderly patients group,and the supraverge rate of unexplained fever in the elderly patients is higher.
关键词
社区
成人
发热
病因
Community
Adult
Fever
Etiology
