儿童传染性单核细胞增多症临床特征分析

Analysis of clinical features of children with infectious disease

目的:总结EB病毒感染引起的不同年龄组传染性单核细胞增多症(IM)的临床特点。方法:回顾性分析78例IM患儿的临床资料。结果:临床表现多样,年龄越小,咽部分泌物越少,婴儿组发热、皮疹、咳嗽发生率较高,幼儿组、学龄前组、学龄组咽峡炎、淋巴结肿大、肝脾肿大均突出,发生率明显高于其他年龄组。结论:IM临床表现多样,需结合临床表现、变异淋巴细胞、EBV-Ig M等综合判断,做到早诊断、早治疗,警惕发生EBV相关性嗜血细胞综合征。

Objective:To summarize the clinical features of infectious disease caused by different age groups of EB virus infection.Methods:The clinical data of 78 children with IM were analyzed retrospectively.Results:Clinical manifestations were various.The younger was the age,the less was pharyngeal secretions.Fever,rash,cough incidence rate of the baby group was higher.In young children group,preschool group,age group,angina,lymphadenopathy and hepatosplenomegaly were prominent,and the incidence rate was significantly higher than that of other age groups.Conclusion:IM clinical manifestations are diversity.Early diagnosis and early treatment should be combined with clinical manifestations, variation of lymphocytes,EBV-IgM and other comprehensive judgment,and alert the occurrence of EBV related blood cell syndrome.