【摘要】 目的 分析358例发热待查（FUO）患者临床特征，为发热待查的临床诊治提供参考。方法 回顾性分析新疆医科大学第一附属医院自2019年1月1日-2020年1月1日收治的358例发热待查患者，将病因分为感染性疾病（259例）、非感染性发热（76例）及诊断不明（23例）3类，分析其临床特点。结果 非感染性疾病组的住院天数（16.21±11.74）较感染性疾病组（9.82±6.51）更长，差异有统计学意义（P <0.05）。感染性疾病中以细菌性感染212例（81.9%）最常见，非典型病原体感染中布氏杆菌病9例（2.51%）、结核菌感染例41例（11.45%）。非感染性疾病中以未分型结缔组织病39例（51.3%）更为常见。结论 FUO患者在诊疗过程中要根据流行病史、临床表现、体征及实验室指标等进行综合分析，以尽早明确诊断。更多还原

【Abstract】 Objective The clinical characteristics of 358 patients with fever to be investigated(FUO)were analyzed to provide reference for the clinical diagnosis and treatment of fever to be investigated. Methods A retrospective analysis of 358 patients with fever who were admitted to the First Affiliated Hospital of Xinjiang Medical University from January 1, 2019 to January 1, 2020. They were divided into 3 categories: infectious diseases(259 cases), non-infectious fever(76 cases)and undiagnosed(23 cases), and their clinical characteristics were analyzed. Results The number of days in hospital of the non-infectious disease group was(16.21 ± 111.74)longer than that in the infectious disease group(9.82 ± 16.51), and the difference was statistically significant(P < 0.05). Among infectious diseases, 212 cases(81.9%)of bacterial infection were the most common. 9 cases of brucellosis(2.51%)and 41 cases of tuberculosis infection(11.45%)were found in atypical pathogens. Non-infectious diseases were more common in 39 cases(51.3%)of unclassified connective tissue diseases. Conclusion FUO patients should be comprehensively analyzed according to epidemic history, clinical manifestations, signs and laboratory indicators in the process of diagnosis and treatment, so as to make a clear diagnosis as soon as possible.更多还原