【摘要】 本文分析119例不明热的诊断,其体温≥38.5℃,热程3周以上。明确诊断者112例,归为感染、肿瘤、结缔组织病等。感染多见,结核病较文献报告为高。对起病方式、热程、皮疹等临床表现进行了分析讨论,对白细胞总数、分类计数、血培养、活检及诊断性探查术等予以评价,并举例说明造成不明热诊断困难的原因。更多还原

【Abstract】 One hundred nineteen cases of patients with fever of unknown origin (FUO) are analyzed. All cases had a temperature of 38.5℃ for more than three weeks. The cause of the elevated temperature was attributed to infection, malignancy, connective tissue disease, etc in 112 cases. Infection was the most common cause of fever and the incidence of tuberculosis is higher than that reported in the literature. The clinical features of these illnesses such as mode of onset, pattern of fever, skin rash, are analyzed and discussed. The significance of blood cultures, biopsy and laparotomy results, and total differential counts of leukocytes for diagnosis are evaluated. Some examples are given to illustrate the difficulties in properly diagnosing fevers of unknown origin.更多还原