发热是小儿疾病中最常见的症状,一般将发热持续2周以上者称为长期发热。小儿长期发热的病因较复杂,可归纳为感染性发热和非感染性发热两大类,小儿以感染性发热为多见。据我科1972～1975年以发热待查(持续发热一周以上者)160例住院患儿的统计,感染性发热占85%,其中由败血症引起者28例,占17.5%,仅次于结核病。28例中持续发热两周以上来诊者占19例。1980～1984年,我科经血培养证实病原菌的小儿败血症172例,其中因长期发热来诊者占全部病例的1/3。由此可见,在小儿长期发热的诊断中,应充分考虑到败血症。导致小儿9败血症长期发热的因素很多,本文就我们临床实践中遇到的问题,进行分析,从中总结经验教训。 Fever is the most common symptom in pediatric disease and is generally referred to as long-term fever with fever lasting more than 2 weeks. Pediatric long-term fever causes more complicated, can be summarized as infectious fever and non-infectious fever two categories, children with infective fever is more common. According to our department from 1972 to 1975 with fever waiting for investigation (sustained fever for more than one week) 160 cases of hospitalized children, infective fever accounted for 85%, of which 28 cases caused by sepsis, accounting for 17.5%, second only to tuberculosis. Of the 28 patients who sustained fever for more than two weeks, 19 were diagnosed. From 1980 to 1984, 172 cases of pediatric septicemia were confirmed by blood culture in our department, and one third of all cases were diagnosed due to long-term fever. Thus, in the diagnosis of long-term fever in children, should take full account of sepsis. Lead to pediatric sepsis 9 long-term fever, many factors, this article on the clinical problems encountered in our analysis, from which lessons learned.