|
|||||
|
|
| 小儿传染性单核细胞增多症38例临床分析 | |
| 引用本文： | 向二英. 小儿传染性单核细胞增多症38例临床分析[J]. 湖北民族学院学报(医学版 ), 2010, 27(3): 33-35 |
| 作者姓名： | 向二英 |
| 作者单位： | 湖北民族学院附属医院儿科,湖北,恩施,445000 |
| 摘 要： | 目的分析小儿传染性单核细胞增多症的临床特征及治疗方法,提高对该病的认识。方法对38例传染性单核细胞增多症患儿的临床表现、实验室检查及治疗转归进行回顾性分析。结果本病临床表现多样,其主要表现：发热95%（36例）,咽峡炎92%（35例）,淋巴结肿大84%（32例）,部分表现为肝脾肿大,皮疹,双眼睑浮肿,扁桃体伪膜形成。实验室检查：外周血常规白细胞数〉10×10^9/L 66%（25例）,异形淋巴细胞检查〉10%者82%（31例）;EBV-IgM检测阳性92%（35例）,可伴贫血、血小板减少、肝功能受损、肺炎等。严重者出现嗜血细胞综合征改变,危及生命。阿昔洛韦治疗有效率97%以上（37/38）。结论传染性单核细胞增多症临床表现复杂多样,可伴多器官多系统损害。外周血异形淋巴细胞及EBV-IgM检查具有特异性,可提高对本病的早期诊断。阿昔洛韦治疗有较好的疗效。 |
| 关 键 词： | 传染性单核细胞增多症 阿昔洛韦 小儿 |
A Clinical Analysis of 38 Cases of Infectious Mononucleosis in Children |
|
| XIANG Er-ying. A Clinical Analysis of 38 Cases of Infectious Mononucleosis in Children[J]. Journal of Hubei Institute For Nationalities(Medical Edition), 2010, 27(3): 33-35 | |
| Authors: | XIANG Er-ying |
| Affiliation: | XIANG Er-ying(Department of pediatrics,Affiliated Hospital of Hubei University for Nationalities,Enshi 445000,China) |
| Abstract: | Objective To summarize the clinical features and treatments of infectious mononucleosis in children and increase the recognition to this disease in order to diagnose and treat more effectively.Methods Clinical data about 38 children with infectious mononucleosis,including clinical presentation,laboratory examinations,treatments and outcomes,were retrospectively analyzed.Results The clinical manifestations of infectious mononucleosis in children showed variety,consisting of fever(n=36,95%),isthmitis(n=35,92%... |
| Keywords: | infectious mononucleosis acyclovir children |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |