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目的探讨糖尿病患者不明原因长期发热(FUO)的原因。方法选择2000年1月至2010年1月符合发热原因待查的患者165例,进行跟踪调查并总结分析至明确诊断。结果 165例中明确诊断153例,确诊率为92.7%。未明确诊断12例。其中感染性疾病91例,占55.1%,结缔组织病30例,占18.1%,恶性肿瘤22例,占13.3%,其他疾病10例占6.1%。结论感染性疾病、结缔组织及肿瘤性疾病是本组FUO的主要病因,呼吸道感染居第一位。
Objective To investigate the causes of unexplained long-term fever (FUO) in diabetic patients. Methods From January 2000 to January 2010, 165 patients with fever due to be investigated were followed up and analyzed to confirm the diagnosis. Results A total of 153 cases were diagnosed in 165 cases, with a diagnosis rate of 92.7%. No definite diagnosis of 12 cases. Including 91 cases of infectious diseases, accounting for 55.1%, 30 cases of connective tissue disease, accounting for 18.1%, 22 cases of malignant tumors, accounting for 13.3%, 10 cases of other diseases accounted for 6.1%. Conclusion Infectious diseases, connective tissue and neoplastic diseases are the main causes of FUO in this group, with respiratory tract infection being the highest.