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发热是很多疾病的常见症状,长期发热的诊断颇感困难。现将我院内科1977年～1980年住院病人长期发热的47例进行分析,以便吸取经验教训,提高诊断水平。临床资料一、病例选择:入院前发热4周以上,入院时诊断不明或入院前发热时间不足4周,但确诊前的总发热时间在4周以上者.二、病因分析:本组47例患者经住院查明病因者45例。1、感染性疾病:27例.(1)结核病15例。包括急性粟粒型肺结核1例,肺门淋巴结核4例,结核性腹膜炎7例(其中2例同时伴有胸膜炎和心包炎),结核性心包炎1例,纵隔淋巴结核2例。5例肺内结核和2例纵隔淋巴结核,均经胸部 X 线片确诊。结核性腹膜炎和
Fever is a common symptom of many diseases and the diagnosis of long-term fever is difficult. Now in our hospital from 1977 to 1980, 47 cases of long-term fever in hospital were analyzed in order to learn from the experience and improve the level of diagnosis. Clinical data A case selection: more than 4 weeks before admission fever, unknown diagnosis or admission before admission fever less than 4 weeks, but before the diagnosis of total fever in more than 4 weeks. Second, the etiology analysis: the group of 47 patients The hospital identified the cause of 45 cases. 1, infectious diseases: 27 cases (1) 15 cases of tuberculosis. Including acute miliary tuberculosis in 1 case, hilar lymph node in 4 cases, tuberculous peritonitis in 7 cases (2 cases accompanied by pleurisy and pericarditis), tuberculous pericarditis in 1 case, mediastinal lymph node in 2 cases. 5 cases of pulmonary tuberculosis and 2 cases of mediastinal lymph node were confirmed by chest X-ray. Tuberculous peritonitis and