肺炎支原体感染致儿童传染性单核细胞增多综合征32例临床分析

目的探讨肺炎支原体感染所导致的儿童传染性单核细胞增多综合征的临床特点。方法对32例肺炎支原体感染致小儿传染性单核细胞增多综合征的临床特点及其诊断治疗进行回顾性分析。结果 32例患儿均有发热、淋巴结肿大、咽峡炎;其中26例有肝、脾肿大,18例合并有皮疹,5例有心肌损害,经用阿奇霉素抗感染及保肝营养心肌等综合治疗均痊愈。结论小儿肺炎支原体感染可致传染性单核细胞增多综合征,其主要的临床表现为不规则发热、淋巴结肿大、咽峡炎,肝脾肿大也较为常见,早期诊断及时正确治疗可缩短病程,减少并发症并改善预后。

The Clinical Features of Infectious Mononucleosis Syndrome which Due to Mycoplasma Pneumoniae Infection in Children

Objective To study the clinical features of infectious mononucleosis syndrome which due to Mycoplasma pneumoniae infection in children. Methods Sydrome clinical features and diagnosis and treatment of 32 cases of Mycoplasma pneumoniae in- fection in children with infectious mononucleosis syndrome were retrospectively analyzed. Results All the patients had fever,en- larged lgmph nodes and angina,26 had hepatosplenomegaly,18 rash ,5 had myocardial damage. All the cases were cared after the comprehensive treatment of azithromgcin and hepatoprotective nutrition myocardial. Conclusion Mycoplasma pneumoniae infection can cause infectious mononucleosis syndrome, its main clinical manifestations were irregular fever, lymphadenopathy, pharyngitis, hepatosplenomegaly is relatively common, early diagnosis and proper treatment can shorten the course of disease, reduce complications and improve prognosis.