| 不明原因发热229例病因诊断 |
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| 引用本文： | 翟永志,杨光,张志强,刘刚. 不明原因发热229例病因诊断[J]. 中国全科医学, 2011, 14(24) |
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| 作者姓名： | 翟永志 杨光 张志强 刘刚 |
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| 作者单位： | 1. 中国人民解放军总医院发热疾病科,北京市,100853
2. 中国人民解放军总参谋部测绘局门诊部 |
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| 摘 要： | 目的 探讨不明原因发热(FUO)的病因.方法 回顾性分析2009年1月-2010年1月在我科就诊且符合FUO诊断标准,并完成6 ～18个月随访的229例患者的临床资料.结果 229例FUO患者中明确诊断203例(88.6%,203/229),包括感染性疾病99例(48.8%,99/203),结缔组织病68例(33.5%,68/203),肿瘤性疾病13例(6.4%,13/203),其他疾病23例(11.3%,23/203),随访至今仍未明确诊断26例(11.4%,26/229).结论 本研究显示,FUO病因多样,感染性疾病仍是主要原因,病毒感染和结核病为主要病种,结缔组织病在非感染性疾病中比例最高,成人Still病最为多见,肿瘤性疾病以淋巴瘤多见且死亡率较高.以完整病史和反复体格检查为基础,辅以必要的实验室检查或其他检查,仍是目前诊断FUO的主要策略.
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| 关 键 词： | 发热,原因不明 病因 感染 结缔组织疾病 |
Etiology for Fever of Unknown Origin:A Clinical Review of 229 Cases |
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| ZHAI Yong-zhi,YANG Guang,ZHANG Zhi-qiang,et al.. Etiology for Fever of Unknown Origin:A Clinical Review of 229 Cases[J]. Chinese General Practice, 2011, 14(24) |
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| Authors: | ZHAI Yong-zhi YANG Guang ZHANG Zhi-qiang et al. |
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| Affiliation: | ZHAI Yong-zhi,YANG Guang,ZHANG Zhi-qiang,et al.Department of Fever Related Diseases,the PLA General Hospital,Beijing 100853,China. |
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| Abstract: | Objective To investigate the causes for fever of unknown origin(FUO).Methods Clinical data of patients diagnosed as FUO from January 2009 to January 2010 at our facility and completed the subsequent follow-up of 6~18 months were retrospectively analyzed.Results Out of the 229 FUO cases,203 were definitely diagnosed(88.6%,203/229).The most common causes of FUO were infectious diseases(48.8%,99/203),68 cases(33.5%,68/203) suffered from collagen vascular diseases(CVD),13 cases(6.4%,13/203) were diagnosed with ... |
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| Keywords: | Fever of unknown origin Etiology Infection Connective tissue disease |
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