A Study Of 406 Cases With Fever In The Year Between March 2009 And March 2010

Objective: To investigate the etiology, diagnostic methods and procedure for management of fever diseases of the respiratory system. Methods: All 406 cases of respiratory disease with fever admitted to the Fourth Hospital of Xinjiang Medical University between march, 2009 and march, 2010 were divided into three groups according to age, group 1: younger than 45 years old; group 2: between 45 an 59 years old; group 3: older than 59 years old. Medical records were reviewed retrospectively . Results: There were 225 male patients and 181 female patients with an average age of 45. 34 years old. 385 cases had infectious disease with 183 cases of pneumonia; 139 cases of acute upper respiratory tract infection; 27 cases of tuberculous pleuritis; 28 cases of pulmonary tuberculosis; 21 cases of acute treacheobronchitis; 5 cases of lung abscess; 31 cases of acute exacerbations of chronic obstructive pulmonary disease; 21cases of bronchiectasis; 21 of the 406 cases had non-infectious disease with 9 case of lung cancer; 11 cases of interstitial pneumonia; 1 cases of extrinsic allergic alveolitis. (1) in group 1: 215 cases (98. 62%) among 218 had infectious disease. 3 (1. 37%) of the 218 cases had non-infectious disease (2) group 2: 69 cases (90. 79%) among76 had infectious disease; 7 (9. 21%) of the 76 cases had non-infectious disease (3) group 3: 101 cases (90. 18%) among 112 had infectious disease; 11 (9. 82%) of the 112 cases had non-infectious disease . The rate of Infectious diseases in the group of under 45 years old are higher then other groups?The fever pathogenesis of tuberculosis is longer then other infectious diseases. the level of fever of tuberculosis is lower then other infectious diseases. there are no difference between infectious disease and non-infectoius disease, but the rate of WBC's incrase of pneumonia is higher then tuberculosis. In these 406 cases, 128 cases (31. 52%) can give final diagnosis by nomal clinical data, 221 cases (54. 31%) need CT examination to concluded; there are 9 cases need pathology examination to identify; other 48 cases (11. 82%) have to diagnose by the resoult of test cure. Conclusions: Infectious diseases were the major causes of respiratory disease with fever . The common reasons are pneumonia; acute upper respiratory tract infection; tuberculosis; acute exacerbations of chronic obstructive pulmonary disease. Xinjiang has a high incidence rate of Tuberculosis, it should be reconstructed in diagnosis. Common diseases can be diagnosed by the clinical datas, CT examination is very important in the diagnosis of the respiratory disease with fever, pathology examination isaccurate, and the test of cure is an obbligato method for the diagnosis of the respiratory disease with fever.