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儿童传染性单核细胞增多症44例临床分析

Clinical Analysis of 44 cases children Infectious Mononucleosis

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【作者】 蔡云望王方斗

【Author】 CAI Yun-Wang, WANG Fang-dou(Department of Pediatric, Hainan Provincial Hospital, Haikou, Hainan, 570311, China)

【机构】 海南省人民医院儿科海南省人民医院儿科 海南海口570311海南海口570311

【摘要】 目的对儿童传染性单核细胞增多症的临床表现进行分析总结,提高本病的诊断治疗水平。方法回顾分析44例传染性单核细胞增多症患儿的临床资料。结果本病多见于学龄前男童,临床特点为发热、肝脾淋巴结肿大,实验室检查发现外周血异形淋巴细胞增高,EB病毒外壳抗原IgA抗体阳性,应用阿昔洛韦治疗取得一定疗效,所有患儿痊愈或好转出院。结论本病临床表现多样,易误诊,需提高对本病的认识,早期诊断,及时治疗。

【Abstract】 Objective To analyse a conclusion of the clinical manifestations of the children infectious mononucleosis to improve the diagnosis and treatment skills of this disease. Methods Regression analysis the 44 cases clinical information of infectious mononucleosis of children. Results This disease most occurs during the preschool. The clinical characteristics of this disease are fever, enlarged liver and spleen lymphocytes. The laboratory test discovered that there is on increased number of atypical lymphocytes and Epstein-Barr virus antigen IgA antibody was positive. The approach of using Aciclovir has been made an effective result which all the cases has been cured or improved to be discharged. Conclusions The dynamic nature of clinical presentation of infectious mononucleosis which can be casy to be mislead, so we must gain the knowledge of this disease of getting the earlier diagnosis and prompt treatment.

【关键词】 传染性单核细胞增多症儿童
【Key words】 Infectious mononucleosisChildren
  • 【文献出处】 海南医学 ,Hainan Medical Journal , 编辑部邮箱 ,2005年07期
  • 【分类号】R725.1
  • 【下载频次】34
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