本例结合病史、体检和实验室检查考虑下列疾病:一、非感染性疾病1.肿瘤:引起发热的最常见的有原发性肝癌、甲状腺癌,任何癌肿发生转移时均可出现发热。因本例有肝区疼痛,肝脏大小有动态改变,肝功能中谷丙转氨酶45单位,需排除原发性肝癌,患者甲胎蛋白阴性,肝扫描未见占位性病变,肝癌无诊断依据;考虑肝癌如果以发热为主症则属于炎症型,一旦起病,一般病情急转直下,三个月内即可致死,而本例病程已 This case combined with medical history, physical examination and laboratory tests to consider the following diseases: First, the non-infectious diseases 1. Tumors: the most common cause of fever, primary liver cancer, thyroid cancer, any cancer metastasis may occur when fever. Because of this case of liver pain, the dynamic changes in liver size, liver function in alanine aminotransferase 45 units, to be ruled out of primary liver cancer, patients with alpha-fetoprotein negative, liver lesions did not see the place, no diagnosis of liver cancer; consider Liver cancer if fever-based disease is the main type of inflammation, once the onset, the general condition of rapid decline, can be dead within three months, and the duration of this case has been