儿童EB病毒感染临床相关因素分析

目的 探讨儿童EB病毒（EBV）感染的临床特点，提高对儿童EB病毒感染的认识。方法对经酶联免疫染色法（ELISA）检测EBV抗体确定为EB病毒感染的50患儿进行回顾性分析。结果50例EB病毒感染患儿中，男32例，女18例，男女之比1．8：1，以呼吸道感染为主29例（58．0％），其中上呼吸道感染12例（24．0％）、扁桃体炎8例（16．0％）、支气管炎7例（14．0％）、肺炎2例（4．0％），传染性单核细胞增多症11例（22．0％）。结论小儿EB病毒感染可累及全身多系统，不典型表现者居多，易误诊漏诊，需提高对本病的认识，综合分析，早期诊断，早期治疗。

Objective To disclose the clinic characteristics of EBV infection of children and improve the realization on the EBV infection of children. Methods The retrospective analysis was made on forty cases infected by EBV diagnosed by enzyme immune staining test on the antibody against EBV. Results The ratio （thirty -two male cases/eighteen female female cases ） was 1.8 ： 1 among the forty - five children cases of EBV infection. Respiratory infection was the first majority with a proportion of 58.0 percent, in which up - respiratory infection was 24. 0 percent, tonsillitis was 16.0% percent, bronchitis is 14. 0 percent, pneumonia was 4. 0% percent. Infections mononucleosis was the second majority with proportion of 22.0 percent. Conclusion Multi - system could be involved when children is infected by EBV. Most related disease is non - distinctive and easy to be mis - diagnosed and lack of diagnosis. The clinician should improve the realization on this disease giving a early diagnose and treatment.