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目的分析病因明确发热和不明原因发热患者疾病类型、费用、住院时间等因素。方法选取医院收治的病因明确发热患者(病因明确组,46例)和不明原因发热患者(不明原因组,35例)临床资料行回顾性分析,比较2组患者发热病因类型、诊治费用、住院时间。结果 46例病因明确发热患者确诊45例,确诊率为97.83%;35例不明原因发热患者确诊29例,确诊率为82.86%,2组比较差异有统计学意义(P<0.05)。病因明确组感染率为80.43%,高于不明原因组的42.86%(P<0.01);病因明确组住院时间短于不明原因组,病因明确组住院费用少于不明原因组(P均<0.01)。结论不明原因发热患者相对病因明确发热患者,非感染性病因较多,其诊治时间和诊治费用均较高。
Objective To analyze the factors such as the type of disease, cost, length of stay and so on in the patients with definite fever and unexplained fever. Methods Retrospective analysis was performed on clinical data of patients with definite fever (46 patients with definite etiology) and patients with unexplained fever (35 patients with unexplained cause) admitted to the hospital. The types of fever, the cost of diagnosis and treatment, the length of hospital stay . Results Of the 46 patients with definite fever, 45 cases were diagnosed with fever, the diagnosis rate was 97.83%. Of the 35 cases with fever of unknown cause, 29 cases were confirmed, the diagnosis rate was 82.86%. There was significant difference between the two groups (P <0.05). The infection rate of definite etiology was 80.43%, higher than that of unknown etiology group (42.86%, P <0.01). The hospitalization time of definite etiology group was shorter than that of unknown etiology group, and the hospitalization cost of definite etiology group was less than that of unknown etiology group (all P <0.01) . Conclusion In patients with fever of unknown origin, the relative cause of fever is clear, and the number of non-infectious causes is high. The diagnosis and treatment time and the cost of diagnosis and treatment are all higher.