先天性和围产期人巨细胞病毒感染的临床特征分析

ANALYSIS OF CLINICAL FEATURES IN CONGENITAL AND PERINATAL HUMAN CYTOMEGALOVIRUS INFECTION

报告107例活动性人巨细胞病毒感染的临床表现。所有病例（CMV-IgM抗体皆阳性。先天性感染组79例，围产期感染组28例。两组均以出现早、程度重、消退迟或退而复现的病理性黄疸或伴肝脾肿大、肝功能有异常为主，余为先天畸形和神经系统异常。31例中17例有听通路传导障碍。先天组中新生儿窒息20例。如遇此等表现，应警惕CMV感染的存在。

Clinical features of 104 caees of human cytomegalovirus infection were reported. CMVIgM was positive in all cases, congenital group 79 cases and perinatal group 28 cases. Both groups showed pathological jaundice to appear early, severe and disappear late or reappear or to accompany enlargement of liver and spleen, impaired liver function cheifly, others,were congenital malformation and abnormality of nervous systern, 17 of 31 cases with defect of hearing. 20 cases were asphyxia of neonatorum. When any of there is psesent, more attention should be paid.