温州地区感染性发热病因归类分析

Etiological analysis of infectious fever cases in Wenzhou Area.

目的 分析温州地区感染性发热的病因 ,为临床治疗提供参考。 方法 收集 1997年 1月～ 2 0 0 3年 3月收治住院的感染性发热患者 5 5 0例 ,进行回顾性分析。 结果 感染性疾病 5 5 0例 ,其中局灶 (单器官 /系统 )感染 2 0 3例 ( 3 6 91% ) ,多系统性感染 3 47例 ( 63 0 9% )。 结论 感染性发热诊断的关键是要有完整的鉴别诊断思路 ,及全面寻找诊断线索 。

Objective To make an etiological analysis of infectious fever in Wenzhou area, Zhejiang Province. Methods 505 cases of febrile infectious disease from January 1997 to March 2003 were retrospectively analysed. Results Focal (single organ or system) infection and multi-systematic infection accounted for 36.91%(203/505)and 63.09%(347/505). Conclusion Diagnosis of febrile infectious disease is determined by the integrity of differential method.Systematically searching the diagnostic clue and making a synthetic diagnostic balance are the practica way for differential diagnosis.