| 107例不明原因发热回顾分析 |
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| 引用本文： | 倪武,缪晓辉,张瑞祺,王国俊,蔡雄.107例不明原因发热回顾分析[J].解放军医学杂志,2002,27(10):922-924. |
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| 作者姓名： | 倪武 缪晓辉 张瑞祺 王国俊 蔡雄 |
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| 作者单位： | 200003,上海,第二军医大学长征医院 |
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| 摘 要： | 回顾分析了107例不明原因发热（FUO）的病因分布，临床特点及诊治体会。结果总确诊率为99.1%，感染性疾病，风湿性疾病及恶性肿瘤分别占46.7%(50例）、20.6%(22例）和15.9%(17例）。化脓性细菌仍是感染性疾病的主要病原体（72.0%,36/50)，其次为结核分杆菌感染（18.0%，9/50）,且均为肺外结核；淋巴造血组织肿瘤是恶性肿瘤性疾病的主要病种（15/17），以恶性组织细胞病，恶性淋巴瘤及白血病最常见。除上述本大类疾病外，药物热占总病例数的8.4%(9/107)。
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| 关 键 词： | 发热 原因不明 FUO 病因 临床特点 |
| 修稿时间： | 2002年5月22日 |
FEVER OF UNKNOWN ORIGIN: A RETROSPECTIVE ANALYSIS OF 107 CLINICAL CASES |
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| Ni Wu,Miao Xiaohui,Zhang Ruiqi et al.FEVER OF UNKNOWN ORIGIN: A RETROSPECTIVE ANALYSIS OF 107 CLINICAL CASES[J].Medical Journal of Chinese People's Liberation Army,2002,27(10):922-924. |
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| Authors: | Ni Wu Miao Xiaohui Zhang Ruiqi |
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| Affiliation: | Ni Wu,Miao Xiaohui,Zhang Ruiqi et al. Changzheng Hospital,Second Military Medical University,Shanghai 200003 |
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| Abstract: | To investigate causes and clinical picture of fever of unknown origin (FUO), and to sum up the experiences in diagnosis of FUO, the medical records of 107 patients with FUO were reviewed retrospectively. Specific causes were identified in 99. 1% of these patients, including infections in 50 patients(46. 7%) , rheumatic problems in 22(20. 6%) and malignancies in 17(15. 9%). The main pathogens responsible for the infections were pyogenic bacteria(72. 0% , 36/50) and M tuberculosis (18. 0% , 9/50), mostly extrapulmonary. Lymphatic and he-mopoietic tissue neoplasms were the main forms of malignancy (88. 2%, 15/17), including histiocytosis, malignant lymphoma and leukemia. Drug fever was another common cause of FUO, accounting for 8. 4% in our series. |
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| Keywords: | fever of unknown origin retrospective study |
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