小儿传染性单核细胞增多症62例临床分析  

Clinical Analysis of 62 Cases of Infectious Disease in Children

作　　者：吴彪[1] 王利[1] 郑莉萍[1] 郑焕珍 

机构地区：[1]郑州人民医院儿科,河南郑州450003

出　　处：《中外医疗》2016年第31期53-55,共3页China & Foreign Medical Treatment

摘　　要：目的分析62例小儿传染性单核细胞增多症(IM)的临床特点,提高IM的诊疗水平。方法整群选取该院2014年6月—2016年6月收治的62例IM患儿进行回顾性分析,分析其临床表现、并发症、实验室检查、临床疗效及预后。结果 IM患儿临床表现为发热、咽峡炎、淋巴结肿大、肝脾肿大、咳嗽、皮疹、双眼睑水肿等;并发症多表现为:肺炎、肝功能异常、心肌损害等;实验室检查白细胞总数升高,异型淋巴细胞超过10%,EB病毒抗体阳性;患儿经常规更昔洛韦等治疗均治愈,预后良好。结论小儿IM临床表现、实验室表现各异,并发症较多,提高对本病的认识,可有效避免漏诊及误诊,应用更昔洛韦抗病毒治疗有效,预后良好。Objective To analyze the clinical features of 62 cases of infectious disease of children with infectious disease（IM）, and to improve the diagnosis and treatment of IM. Methods Group selection 62 cases of IM were retrospectively analyzed in our hospital from June 2014 to June 2016. The clinical manifestations, complications, laboratory tests, clinical curative effect and prognosis were analyzed. Results The clinical manifestations of children with IM for fever, angina, lymph adenopathy, hepatosplenomegaly, cough, skin rash, eyelid edema etc.; complications showed： pneumonia, abnormal liver function, myocardial damage; laboratory examination, the total number of white blood cells increased, atypical lymphocytes over 10%, EB virus antibody positive; the children often gauge ganciclovir treatment were cured, the prognosis is good.Conclusion Children with IM clinical manifestations, laboratory performance of different, more complications, improve on the understanding of the disease, which can effectively avoid the misdiagnosis and missed diagnosis, the application of ganciclovir antivirus therapy is effective, the prognosis is good.

关 键 词：EB病毒 传染性单核细胞增多症 临床特点 

分 类 号：R5[医药卫生—内科学]