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95例经典型不明原因发热的病因及临床特点分析

  [摘要] 目的 分析95例经典型不明原因发热的病因及临床特点。方法 对该院2016年1月—2018年12月接收的95例经典型不明原因发热患者临床资料回顾性分析。结果 95例患者中,感染性疾病、结缔组织、恶性肿瘤、杂病类及病因未明分别有56例、16例、7例、9例和7例,占比分别是58.95%、16.84%、7.37%、9.47%和7.37%;感染性疾病主要是男性,大部分患者存在头痛及畏寒。结缔组织病中,男性与女性患病概率差异无统计学意义(P>0.05),该类患者大部分存在淋巴结肿大、皮疹、肌肉痛及关节痛;相比于恶性肿瘤及感染性疾病,结缔组织病中性粒细胞百分比、白细胞计数、SF及ESR提高明显,差异有统计学意义(P0.05). Most of these patients have lymphadenopathy, rash, muscle pain and joint pain. Compared with malignant tumors and infectious diseases, connective tissue disease neutral granules percentage of cells, white blood cell count, SF and ESR increased significantly. After statistical analysis, the difference was statistically significant. The patients with malignant tumors were mainly over 40 years old, most of them were male patients, and the spleen was large and the anorexia was obvious,and the difference was statistically significant(χ2=2.514,P=0.002). Conclusion Infectious diseases are the main cause of unexplained fever, followed by malignant tumors, miscellaneous diseases and connective tissue diseases. For specific diseases, the common type of common disease with unexplained fever is AOSD, followed by lymphoma and typhoid. According to the specific conditions, laboratory results, etc., clinical diagnosis and treatment can help improve the treatment effect, ensure a good therapeutic effect, and restore the patient's health early., http://www.100md.com(殷智颖 杨靓靓 金兆清) 第 1 2 3 页 下一页

 参见:首页 > 医疗版 > 症状 > F > 发热
 百拇医药网 http://www.100md.com/html/paper/1674-0742/2020/02/18.htm
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