182例小儿传染性单核细胞增多症的血液学表现

The hematological manifestation of infectious mononucleosis in 182 cases

目的 探讨传染性单核细胞增多症(传单)的血液学表现。方法 回顾性分析182例小儿传染性单核细胞增多症血液学的临床表现。结果 126例出现血液学表现(69.2％),及38例血液系统并发症(20.9％)。主要有外周血异型淋巴细胞大于10％(61.5％),贫血(15.9％),粒细胞减少症(15.4％),血小板减少症(9.9％),溶血性贫血(1.1％),Evans综合症(0.6％),类白血病反应(4.4％),全血细胞减少(0.6％),恶性组织细胞病(0.6％)。结论 传单可引起各种各样血液学并发症,临床应高度重视。

Objective To investigate the hematological manifestation in Infectious Mononucleosis. Methods Retrospectively analyze the hematological clinical manifestation in 182 cases of infectious mononu-cleosis. Results Hematological complications appear in 126 cases (69.2%), over 10% atypical lymphocyte is occurring in 61.5% cases, anemia in 15.9% , neutropenia in 15.4% , thrombocytopenia in 9.9% , hemo-lytic anemia in 1.1% , Evans syndrome in 0.6% , leukemoid reaction in 4.4% , whole hypocytosis in 0.6% . Conclusion Many kinds of hematological complication appear in infectious mononucleosis. It is important to pay more attention to it.