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目的探讨儿童传染性单核细胞增多症的临床特点。方法对2006年1月至2012年1月诊治的42例儿童传染性单核细胞增多症患儿的临床资料进行回顾性分析。结果发病年龄10个月～12岁,3～7岁儿童最常见。发热、咽峡炎、皮疹、淋巴结肿大和肝脾肿大为本病的主要典型症状及体征。结论传染性单核细胞增多症临床表现多样,易误诊,多数预后好,但也可引起严重并发症,甚至死亡。尽早检查外周血异型淋巴细胞和EB病毒抗体IgM有助于诊断。
Objective To investigate the clinical features of childhood infectious mononucleosis. Methods The clinical data of 42 children with infectious mononucleosis who were diagnosed and treated from January 2006 to January 2012 were analyzed retrospectively. Results The onset age of 10 months to 12 years old, 3 to 7 years old children most common. Fever, angina, rash, swollen lymph nodes and hepatosplenomegaly are the main typical symptoms and signs of the disease. Conclusions Infectious mononucleosis patients have various clinical manifestations, are easily misdiagnosed and most have a good prognosis. However, they can also cause serious complications and even death. Early detection of peripheral blood lymphocytes and Epstein-Barr virus IgM antibody diagnosis.