摘要
目的探讨小儿传染性单核细胞增多症(IM)的临床特点,以早期诊断,减少误诊。方法对入院前误诊、入院后确诊为IM的15例患儿进行误诊情况分析。结果 IM早期无特异性临床表现,早期确诊难,外周血异常淋巴细胞>10%和EBV-IgM阳性可协助诊断。结论详细的体格检查和及时的实验室检查可提高诊断率。
Objective To investigate the clinical characteristics of children with infectious mononucleosis (IM),in order to diagnose at early stage and reduce misdiagnosis.Methods Misdiagnosis analysis was conducted on 15 cases of children with infectious mononucleosis who were misdiagnosed before admission and diagnosed after admission.Results Infectious mononucleosis at early stage had no specific clinical manifestation,so it was difficult to make an early diagnosis.Abnormal peripheral blood lymphocytes more than 10% and EBV -IgM was positive could assist the diagnosis.Conclusion The detailed physical examination and laboratory examination timely can improve the diagnosis rate.
出处
《中国当代医药》
2013年第24期47-47,50,共2页
China Modern Medicine
关键词
小儿
传染性单核细胞增多症
临床特点
误诊分析
Children
Infectious mononucleosis
Clinical characteristics
Misdiagnosis analysis
