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目的探讨发热待查为主要表现的感染性疾病的病因及诊断思维方式,提高本病诊断水平。方法对新疆维吾尔自治区人民医院2005-03-2009-12期间住院的185例以发热待查为主要表现的感染性疾病的临床资料进行回顾性分析。结果发热待查为主要表现的感染性疾病的病因以细菌感染(包括一般细菌和结核菌)最多,其次为病毒感染、非典型菌以及寄生虫感染等。结论发热待查中感染性疾病是最主要的病因,大多数病例通过病原学、血清学、影像学、病理学检查及诊断性治疗可以明确诊断;制定合理的诊断策略,可避免误诊及漏诊。
Objective To investigate the etiology and diagnostic thinking mode of infectious diseases whose fever is to be investigated as the main manifestation and to improve the diagnosis of this disease. Methods A retrospective analysis was performed on 185 hospitalized patients admitted to the People’s Hospital of Xinjiang Uygur Autonomous Region between March 2005 and December 2009 with fever to be investigated as the main manifestation. Results The main cause of infective fever to be investigated was bacterial infection (including general bacteria and tuberculosis), followed by viral infection, atypical bacteria and parasitic infections. Conclusion Infectious diseases are the most important cause of fever. Most cases can be diagnosed by etiology, serology, imaging, pathology and diagnostic treatment. To develop a reasonable diagnostic strategy can avoid misdiagnosis and missed diagnosis.