A Study About The Diagnosis Of 718 Cases Of Respiratory Disease With Fever In The Respiratory Department Of Our Hospital In The Year Of 2006

Objective: To investigate the etiology, diagnostic methods and procedure for management of fever diseases of the respiratory system.Methods: All 718 cases of respiratory disease with fever admitted to the First Hospital of Jilin University between January 1, 2006 and December 31, 2006 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 387 male patients and 331 female patients with an average age of 45.34±20.75 years old. (1) in group 1:377 cases (98.43%) among 383 had infectious disease with 164 cases (42.82%) of pneumonia; 107 cases (27.94%) of acute upper respiratory tract infection; 57 cases (14.88%) of tuberculous pleuritis; 27 cases (7.05%) of pulmonary tuberculosis; 15 cases (3.92%) of acute treacheobronchitis; 5 cases (1.31%) of lung abscess; 2 cases (0.52%) of acute exacerbations of chronic obstructive pulmonary disease. 6 (1.57) of the 383 cases had non-infectious disease with 2 cases (0.52%) of lung cancer; 1 case (0.26%) of interstitial pneumonia; 1 case (0.26%) of extrinsic allergic alveolitis; 1 case (0.26%) of lung hamartoma and 1 case (0.26%) of pulmonary thromboembolism.(2) group 2: 109 cases (91.60%) among 119 had infectious diseasewith 57 cases (47.9%) of pneumonia; 21 cases (17.65%) of acute upper respiratory tract infection; 7 cases (5.88%) of bronchiectasis; 7 cases (5.88%) of pulmonary tuberculosis; 6 cases (5.04%) of tuberculous pleuritis; 5 case (4.20%) of lung abscess; 1 case (0.84%) of thoracic empyema; 4cases (3.36%) of acute treacheobronchitis; 1 case (0.84%) of acute exacerbations of chronic obstructive pulmonary disease. 10 (8.40%) of the 119 cases had non-infectious disease with 3 cases (2.52%) of lung cancer; 7 case (5.88%) of interstitial pneumonia.(3) group 3: 194 cases (89.81%) among 216 had infectious disease with 123 cases (56.94%) of pneumonia; 22 cases (10.19%) of acute exacerbations of chronic obstructive pulmonary disease; 10 cases (4.63%) of acute treacheobronchitis; 9 cases (4.17%) of acute upper respiratory tract infection; 9 cases (4.17%) of pulmonary tuberculosis; 9 cases (4.17%) of tuberculous pleuritis; 8 cases (3.70%) of bronchiectasis; 3 cases (1.39%) of lung abscess; 1 case (0.46%) of thoracic empyema. 22 (10.19%) of the 216 cases had non-infectious disease with 6 cases (2.78%) of lung cancer; 15 case (6.94%) of interstitial pneumonia, and 1 cases (0.46%) of radiation pneumonia.Conclusions: Infectious diseases were the major causes of respiratory disease with fever. 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.