北京大学首钢医院发热门诊1 223例患者临床资料分析

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中文摘要：目的分析发热门诊患者的流行病学特征，了解发热门诊患者发热原因和临床表现，为疾病的防治提供帮助。方法选取 2022 年 1 月—2023 年 1 月北京大学首钢医院发热门诊收治的 1 223 例患者的临床资料进行回顾性分析，包括患者的性别、年龄、体温、发病时间以及血象等。结果 1 223 例发热患者中男女比例为 1。12∶1，各年龄段发热患者中有 2 个发热高峰，＞15～25 岁 402 例，占比 32。87%;＞25～35 岁 365 例，占比 29。84%。患者就诊数例最多的时间段为 1 月份，其次是 2月份和 12 月份，发热患者的体温主要分布在 38。0～38。9℃，共 868 例，占 70。97%;发热类型主要为不规则发热，1 091 例，占比最高达到了 89。21%;发热时间普遍为 1～3 d。发热患者中的血象变化主要是中性粒细胞计数降低、淋巴细胞计数升高同时改变，共 589 例，占比 48。16%;其次是单纯淋巴细胞降低，256 例，占比 20。93%。患者中有呼吸系统症状的有 697例，占比 56。99%;其次是泌尿系统症状，有 306 例患者，占比25。02%;病因诊断主要是呼吸系统疾病，有 795 例次，占比为65。00%。结论病毒感染是门诊发热患者就诊的主要原因，其中以呼吸系统疾病最为常见，中青年人群为主要发病群体，患者主要为中度、不规则发热，应加强呼吸道传染疾病知识的健康宣教，更好地防治疾病。

外文标题：Clinical Data Analysis of 1 223 Patients in Fever Outpatient Department of Peking University Shougang Hospital

外文摘要：Objective To analyze the epidemiological characteristics of fever outpatient patients,understand the causes and clinical manifestations of fever in fever outpatient patients,and provide assistance for disease prevention and treatment.Methods A retrospective analysis was conducted on the clinical data of 1 223 patients admitted to the fever clinic of Peking University Shougang Hospital from January 2022 to January 2023,including their gender,age,body temperature,onset time,and blood count.Results The male to female ratio among 1 223 fever patients was 1.12:1.There were 2 fever peaks among fever patients of all ages,402 cases were>15 to 25 years old,accounting for 32.87%;365 cases were>25 to 35 years old,accounting for 29.84%.The period with the highest number of patient visits was January,followed by February and December.The body temperature of febrile patients was mainly distributed in the range of 38.0-38.9℃,with a total of 868 cases,accounting for 70.97%.The main type of fever was irregular fever,with 1 091 cases,accounting for the highest proportion of 89.21%.The fever generally lasted for 1-3 days.The blood count changes in febrile patients mainly include a decrease in neutrophil count and an increase in lymphocyte count,with a total of 589 cases accounting for 48.16%,followed by a simple decrease in lymphocytes,with 256 cases accounting for 20.93%.697 patients had respiratory symptoms,accounting for 56.99%,followed by urinary system symptoms,with 306 patients,accounting for 25.02%.The main cause of diagnosis was respiratory diseases,with 795 cases,accounting for 65%.Conclusion Virus infection is the main cause of fever in outpatient clinics,with respiratory diseases being the most common,and infants,young adults,and middle-aged people being the main affected group.Patients mainly have moderate and irregular fever.Health education on respiratory infectious diseases should be strengthened to better prevent and treat the disease.

外文关键词：

fever clinicfever patientsepidemiologyrespiratory infectious diseasescause of feverclinical manifestations

作者：

史雪敏、张丽梅、宁武

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作者单位：

北京大学首钢医院感染性疾病科,北京 100043

关键词：

发热门诊发热患者流行病学呼吸道传染病发热原因临床表现

出版年：

2024

DOI：