摘要
目的探讨EB病毒感染所致传染性单核细胞增多症的临床特点。方法对38例传染性单核细胞增多症患者的临床症状、体征进行回顾性分析。结果临床以发热(100%)、淋巴结肿大(100%)、咽峡炎(97.4%)、肝脏肿大(76.3%)、脾肿大(63.2%)为主要表现,其次为皮疹(26.3%)、眼睑浮肿(21.1%)、鼻塞(13.2%),异型淋巴细胞>10%占63.2%,嗜异凝集试验阳性占57.9%,EBV-VCA-IgM阳性占76.3%。结论传染性单核细胞增多症临床表现复杂,可引起多个器官系统损害,结合实验室检查可明确诊断,治愈率高,预后良好。
Objective To discuss the clinical feature of infectious mononucleosis (IM) caused by EB virus infection Methods The clinical symptom and sign of 38 children suffered from IM were analyzed retrospectively. Results The common manifestations of IM were fever (100%), lymphadenectasis (100%), sore throat (97.4%), hepatomegaly (76.3%) and splenauxe (63.2%). In addition, rash (26.3%), eyelids edema(21.1%) and snuffle (13.2%) were not unusual. For all of these cases, 63.2% had the percentage of atypical lymphocyte(AL) over 10%, 57.9% had heterophil agglutinins test(HAT) positive and 76.3% had the EBV-VCA-IgM test positive. Conclusion IM is a kind of disease with varied clinical manifestation. It may cause multi-organ impairment and can be diagnosed with the help of laboratory examination. Once be diagnosed, IM has a higher cure rate and good prognosis.
出处
《中国现代医药杂志》
2004年第6期20-21,共2页
Modern Medicine Journal of China
