北京大学首钢医院发热门诊1 223例患者临床资料分析
Clinical Data Analysis of 1 223 Patients in Fever Outpatient Department of Peking University Shougang Hospital
史雪敏 1张丽梅 1宁武1
作者信息
- 1. 北京大学首钢医院感染性疾病科,北京 100043
- 折叠
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.
Abstract
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.
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Key words
fever clinic/fever patients/epidemiology/respiratory infectious diseases/cause of fever/clinical manifestations引用本文复制引用
出版年
2024
NETL
NSTL
万方数据