发热待查的390例临床分析

目的 探讨发热待查的病因和诊断方法。方法 进行回顾分析发热待查住院患390例的病例资料。结果 390例患中，感染性疾病235例，结缔组织病51例，恶性肿瘤45例。41％患仅靠病史、临床检查及常规实验室检查做出诊断。B超、CT、骨髓检查及组织活检确诊率分别为3．95％、3．8％、8．9％、70％。结论 感染性疾病、结缔组织病、恶性肿瘤是发热待查的主要原因。

Retrospective study of 390 patients with fever of unknown origin

Objective To investigate the etiology diagnostic methods of fever of unknown origin (FUO). Methods All 390 patients with FUO admitted to our hospital between 1995 and 2002. Medical records were reviewed retrospectively. Results 235 cases among 390 patients had infectious diseases, 51 cases and 45cases of 390 had neoplasm and collagen vascular diseases. History physical examination and routine laboratory studies led to a final diagnosis in 41% of all cases. Ultrasonography, CT scan, bone marrow examination and biopsy contributed to the diagnosis in 3.9%, 3.8%, 8.9% and 70% of the cases, separately. Conclusions Infectious disease, collagen vascular disease and neoplasm were the major cause of FUO.