儿童传染性单核细胞增多症35例临床分析

Medical Journal of Chinese People's Health(2017)

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Abstract
目的:增强对儿童传染性单核细胞增多症的认识,降低误诊率.方法:对35例传染性单核细胞增多症患儿的临床资料进行回顾性分析、总结误诊原因.结果:传染性单核细胞增多症的常见症状发热35例,咽峡炎32例,淋巴结肿大32例,肝肿大25例,脾肿大21例;少见症状眼脸浮肿4例,鼻塞、呼吸困难3例;合并心、肝功能受损.14例误诊病例中急性化脓性扁桃体炎7例,淋巴结炎、急性胃炎各2例.结论:传染性单核细胞增多症临床表现多样化,易误诊,详细的病史、体格检查及合理的实验室检查是减少误诊的关键.
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