不明原因发热性疾病的病因与诊断方法分析_李智.pdfVIP

Med J Chin PLA, Vol. 38, No. 3, March 1, 2013 217 (FUO)FUO 2005 12010 12FUO340 340 295 (86.8%)150(44.1%)145(42.7%)45 (13.2%)186(54.7%)154(45.3%) (48.417.2) Still (27.411.9) 4 202 (59.4%)4 8 50(14.7%)8 88(25.9%) FUO R441.3 A 0577-7402(2013)03-0217-05 Studies on pathogeny and diagnosis of fever of unknown origin 1 2* 2 2 LI Zhi , QI Jun-ying , GUO Wei , GUO Hui 1Department of Infectious Diseases, 161 Hospital of PLA, Wuhan 430010, China 2 Department of Infectious Diseases, Tongji Hospital of Tongji Medical College, Huazhong University of Science Technology, Wuhan 430030, China *Corresponding author, E-mail: jyqi@tjh.tjmu.edu.cn [Abstract]ObjectiveTo analyze the etiology, clinical characteristics and diagnostic methods of fever of unknown origin (FUO), so as to provide a reference for the diagnosis and treatment of FUE. MethodsThe clinical data of 340 patients with FUO admitted in Tongji Hospital from Jan. 2005 to Dec. 2010 were retrospectively analyzed. The relationship between etiology and gender, age of the patients, and course of fever were comprehensively evaluated, and the diversity of disease spectrum was also analyzed. ResultsAmong the 340 patients analyzed, 295(86.76%) the diagnosis was definitely made. As to the etiology, 150(50.85%) were suffering from infectious diseases, 145(49.15%) non-infectious diseases, and in 45(13.24%) the etiology remained unknown till they were discharged from hospital. Among all of the patients, 186(54.71%) were male and 154(45.29%) were female. No significant d