传染性单核细胞增多症49例临床分析

Clinical analysis of 49 cases for infectious mononucleosis

本文对我院收治的 49例传染性单核细胞增多症 ( IM)病例 ,结合有关文献进行了临床资料分析。结果显示 IM因其症状常不典型易致误诊 ,早期诊断依赖反复的外周血液淋巴细胞检查及 VCA-Ig M测定。 L DH在本组病例中检查者的异常率达 10 0 % ,可否以其改变作为 IM的诊断条件值得商榷。IM临床症状的轻重与年龄无明显相关性 ( P>0 .2 5 ) ,无环鸟苷的应用有良好的临床效果 ,本病预后良好。

Forty nine cases with childhood infectious mononucleosis were analyzed in the article with literature review. The results showed that infectious mononucleosis was easily leading to misdiagnosis, as symptoms were not typical. Early diagnosis depends on repeat peripheral blood lymphocyte count and VCA IgM test. The total positive rate of LDH was 100% in these cases examined. The varying of LDH as diagnosis need to be further discuss. Symptomatic of IM is not closely related to age ( P< 0.25). The application of ACV can get good results. The disease has favorable prognosis.