肺结核化疗中发热原因分析

中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (2): 122-125.

肺结核化疗中发热原因分析

范琳；肖和平；

同济大学附属肺科医院上海 200433；

出版日期:2008-02-10 发布日期:2011-11-03

The analysis of factors that causing fever of the patients with anti-tuberculosis treatment

Fan Lin,Xiao Heping,

Tongji University Affiliated Pulmonary Disease Hospital,Shanghai 200433,China

Online:2008-02-10 Published:2011-11-03

摘要/Abstract

摘要： 目的　分析肺结核患者在使用抗结核化学药物治疗过程中出现发热的原因。方法对2003—2006年在抗结核治疗中出现发热的112例住院病人进行回顾性分析。结果 112例病人共出现发热140例次,总结发热原因可分为6大类,按照所占比例依次为:非结核性感染、结核性发热、药物反应、支气管镜检查术后、合并肺外结核和其他合并症。院内获得性感染占非结核性感染例数的98%。结核性发热与低蛋白血症有一定相关性。结论以院内获得性感染为主的非结核性感染是所有发热原因中最多见者,其次要警惕药物热和合并肺外结核。

关键词: 发热, 发热原因, 抗结核治疗, 非结核性感染

Abstract: Objective To analyse the factors that causing fever of the patients with anti-tuber- culosis treatment.Methods The 112 hospitalized pulmonary tuberculosis(PTB)patients from 2003 to 2006 occuring fever during anti-tuberculosis treatment were analysed respectively.Results The 112 PTB patients occured fever for 140 times.There are six factors causing fever including infection other than TB,fever due to TB,drug reaction,fever after bronchoscopy,combined with extrapulmonary TB and other complications.The infection acquired in hospital accounts for 98% of the infection other than TB.There is correlation between fever due to TB and hypo-albumin level of serum.Conclusions Hospital acquired infection other than TB was the top factor that causes fe- ver,followed by drug reaction and combination with extrapulmonary TB.

Key words: Factor causing fever, Anti-TB treatment, Infection other than TB

范琳,肖和平,. 肺结核化疗中发热原因分析[J]. 中国防痨杂志, 2008, 30(2): 122-125.

Fan Lin,Xiao Heping,. The analysis of factors that causing fever of the patients with anti-tuberculosis treatment[J]. Chinese Journal of Antituberculosis, 2008, 30(2): 122-125.

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