儿童传染性单核细胞增多症在耳鼻喉-头颈外科的临床分析

目的分析就诊于耳鼻喉头颈外科儿童传染性单核细胞增多症(IM)的临床表现特征,以提高耳鼻喉头颈外科医生对此病的认识,避免误诊或漏诊。方法对2005年10月～2008年10月就诊于耳鼻喉头颈外科的疑诊后来经内科确诊的22例儿童IM病例的专科表现进行回顾性分析。结果 22例中,有18例(81.82%)腺样体异常增生,20例(90.91%)咽峡炎,其中7例(31.82%)发现扁桃体渗出物,16例(72.73%)发现颈部不同程度淋巴结肿大。结论对于首诊于耳鼻喉头颈外科的主诉短期严重鼻塞、咽痛,或发现扁桃体分泌物或淋巴结肿大的儿童,应考虑IM可能,仔细行专科检查和血液学检查,避免误诊或漏诊。

Objective To improve the otolaryngologist＇s awareness of children＇s infectious mononucleosis（IM）and avoid misdiagnosis or missed diagnosis by analyzing clinical features of this disease in Otolaryngology Head and Neck Surgery.Methods making a retrospective analysis of 22 cases of children＇s IM suspected in Otolaryngology Head and Neck Surgery and confi rmed later in medicine from October 2005 to October 2008.Results Of 22 cases,18 cases（81.82%）were adenoid dysplasia,20 cases（90.91%）were angina,and tonsil exudate was found in 7 cases（31.82%）,and neck lymph nodes of varying degrees was found in 16 cases（72.73%）.Conclusion IM is possible when the chief complaint of the fi rst diagnosis of the child in otolaryngology Head and Neck Surgery are short-term severe stuffy nose,sore throat,or tonsils secretions or lymphadenovarix,and a careful specialist examination and hematology examination shall be taken to avoid misdiagnosis or missed diagnosis.