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不明原因发热:某大学医院107例报告

Fever of unknown origin: report of 107 cases in a university hospital.

作者信息

Yu Kang-Kang, Chen Sheng-Sen, Ling Qing-Xia, Huang Chong, Zheng Jian-Ming, Cheng Qi, Li Ning, Chen Ming-Quan, Shi Guang-Feng

机构信息

Department of Infectious Diseases, Huashan Hospital, Fudan University Shanghai, China.

出版信息

Int J Clin Exp Med. 2014 Dec 15;7(12):5862-6. eCollection 2014.

Abstract

Fever of unknown origin (FUO) is a challenging problem in clinical practice. Evaluation of patient's characteristics may illustrate the etiologies of FUO. In present study, 107 patients with FUO hospitalized in our inpatient department between 2010 and 2011 were investigated. The median age of the patients was 48 years (15-94). The median fever duration was 8.5 weeks (3-104). The median hospital stay was 8.5 days (1-51). Etiologies of FUO were identified as follows: infectious diseases 32 (29.9%), malignancies 19 (17.8%), inflammatory rheumatic diseases 18 (16.8%), and miscellaneous diseases 15 (14.0%). In 23 (21.5%) patients, the diagnosis remained unclear. Infection group had relative shorter average fever duration and hospital stay than other groups. Shortened mean fever duration was observed in geriatric age group. In conclusion, as the most common cause of FUO in the present study, infectious cases had relative shorter average fever duration and hospital stay, and geriatric patients had shortened average fever duration as well.

摘要

不明原因发热(FUO)是临床实践中的一个具有挑战性的问题。对患者特征的评估可能有助于阐明FUO的病因。在本研究中,对2010年至2011年间在我院住院部住院的107例FUO患者进行了调查。患者的中位年龄为48岁(15 - 94岁)。中位发热持续时间为8.5周(3 - 104周)。中位住院时间为8.5天(1 - 51天)。FUO的病因如下:传染病32例(29.9%),恶性肿瘤19例(17.8%),炎性风湿性疾病18例(16.8%),其他疾病15例(14.0%)。23例(21.5%)患者的诊断仍不明确。感染组的平均发热持续时间和住院时间比其他组相对较短。老年年龄组的平均发热持续时间缩短。总之,作为本研究中FUO最常见的原因,感染病例的平均发热持续时间和住院时间相对较短,老年患者的平均发热持续时间也缩短。

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