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目的:总结分析最近2年住院发热待查患者的病因,为临床诊断治疗提供参考。方法:收集我院感染科2014年9月—2016年8月体温38.5℃以上、持续时间2周以上所有符合标准的患者95例,根据出院诊断和实验室检测结果,分析患者发热原因。结果:感染性疾病69例(72.63%),非感染性疾病21例(22.11%),不明原因者5例(5.26%)。感染性疾病中细菌感染最多(66.67%),病毒感染其次(21.74%),所有感染性疾病中,病原学明确者接近一半(47.83%)。非感染性疾病中,结缔组织病最多(52.63%)。所有病例中有明确实验室证据者占51.58%。结论:感染科发热待查主要病因仍然以感染性疾病为主,目前快速准确的诊断在一定程度上仍然依赖以临床综合分析为主,实验室病原学诊断方法有待提高。
OBJECTIVE: To summarize and analyze the causes of fever inpatients in the recent 2 years and provide reference for clinical diagnosis and treatment. Methods: Ninety-five patients who meet the standard of over 38.5 ℃ and whose temperature was above 38.5 ℃ were collected from September 2014 to August 2016 in our hospital, and the causes of fever were analyzed according to the discharge diagnosis and laboratory test results. Results: Infectious diseases in 69 cases (72.63%), non-infectious diseases in 21 cases (22.11%), unknown reasons in 5 cases (5.26%). Infectious diseases had the highest number of bacterial infections (66.67%), followed by viral infections (21.74%) and nearly half of all infectious diseases (47.83%). Non-infectious diseases, connective tissue disease up (52.63%). 51.58% of the patients had clear laboratory evidence. Conclusion: The main cause of infective fever remains infectious diseases, the current rapid and accurate diagnosis to a certain extent still rely on clinical comprehensive analysis, laboratory etiological diagnostic methods to be improved.