发热待查患者433例临床分析

肝脏 ›› 2018, Vol. 23 ›› Issue (6): 481-483.

发热待查患者433例临床分析

李娟, 李永芳, 朱传武, 谢青, 蔡伟

730030 甘肃兰州大学第二医院肝病科[李娟(2017年在瑞金医院感染科进修),李永芳];上海交通大学医学院附属瑞金医院(谢青,蔡伟);苏州第五人民医院感染科(朱传武)

收稿日期:2018-02-10 发布日期:2020-04-26
通讯作者: 蔡伟,Email: carieyc@hotmail.com
基金资助:
国家自然基金(2014ZX10002002);十三五重大新药创制(2017ZX09304016);上海市公共卫生三年行动计划重点学科建设项目传染病与卫生微生物学(15GWZK0102);上海市临床技能与临床创新能力三年行动计划(16CR1002A);苏州市临床医学专家团队项目(SZYJTD201717)

Clinical data analysis of 433 patients with fever of unknown origin

LI Juan, LI Yong-fang, ZHU Chuan-wu, Xie Qing, CAI Wei

Department of Hepatology, Lanzhou University Second Hospital, Lanzhou 730030, China; Department of Infectiongs Diseases,Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025,China

Received:2018-02-10 Published:2020-04-26
Contact: CAI Wei, carieyc@hotmail.com

摘要/Abstract

摘要： 目的探讨发热待查患者的病因及临床特点。方法回顾性分析433例上海交通大学医学院附属瑞金医院感染科发热待查患者的临床资料,将入选患者分为A组(2012年至2014年)194例及B组(2015年至2017年)239例,对其相关资料进行分析。结果 433例发热待查患者中,A组感染性疾病154例(79.38%),结缔组织疾病7例(3.61%),肿瘤性疾病8例(4.12%),其他病因7例(3.61%),原因不明18例(9.28%);B组感染性疾病192例(80.33%),结缔组织疾病17例(7.11%),肿瘤性疾病12例(5.02%),其他病因6例(2.51%),原因不明12例(5.02%)。结论发热待查的原因以感染性疾病为主,其次为结缔组织疾病及肿瘤性疾病,近3年结缔组织疾病及肿瘤性疾病有增加趋势。

关键词: 发热待查, 病因, 诊治经验

Abstract: Objective To investigate the cause and clinical characteristics of patients with fever of unknown origin (FUO), and to summarize the clinical experience of its diagnosis and treatment. Methods Clinical data of 433 cases with FUO from the department of infectious diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine was retrospectively analyzed. These cases were divided into group A (2012-2014) and group B (2015-2017) according to their admission date. Results Among the 433 patients, group A included 154 cases of infectious diseases (79.38%), 7 cases of connective tissue disease (3.61%), 8 cases of tumor diseases (4.12%), 7 cases of other diseases (3.61%), and 18 cases of unknown origin (9.28%). Group B included 192 cases of infectious diseases (80.33%), 17 cases of connective tissue disease (7.11%), 12 cases of tumor diseases (5.02%), 6 cases of other diseases (2.51%), and 12 cases of unknown origin (5.02%). Conclusion The main cause in FUO was infectious diseases, followed by connective tissue diseases and tumor diseases. Moreover, connective tissue diseases and tumor diseases had an increasing trend in the past 3 years.

Key words: Fever of unknown origin, Causes, Clinical experience of diagnosis and treatment

李娟, 李永芳, 朱传武, 谢青, 蔡伟. 发热待查患者433例临床分析[J]. 肝脏, 2018, 23(6): 481-483.

LI Juan, LI Yong-fang, ZHU Chuan-wu, Xie Qing, CAI Wei. Clinical data analysis of 433 patients with fever of unknown origin[J]. Chinese Hepatolgy, 2018, 23(6): 481-483.