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传染性单核细胞增多症26例临床分析
http://www.100md.com 2009年4月1日 《中国医药学刊》 2009年第4期
     【摘要】目的 分析传染性单核细胞增多症的临床特征及治疗。方法 回顾性分析2006年2月至2009年2月在我院就诊的26例传染性单核细胞增多症的临床资料。 结果 本组患者中男性多于女性、成人多于儿童,平均年龄36.6岁。65%有脾大,50%有肝大,81%有皮疹 ,85%有肝功能异常,100%的EB病毒IgM抗体阳性。本组治疗以抗病毒和对症治疗为主。 结论 传染性单核细胞增多症临床表现多样化,易于误诊。

    【关键词】传染性单核细胞增多症;疱疹病毒4型,人;脾大; 肝大

    Clinical Features of Infectious Mononucleosis in 26 Patients.JU Jin-chang, CHEN Li-dong,CHEN Bin,XU Lei.(Department of Internal Medicine,The Central Hospital of Zanzhuang Mining Group, Shandong 277011, China)

    【Abstract】Objeective To summarize the clinical of infectious mononucleosis(IM) in adult patients.Methods Twenty-six cases of adult patents with IM were analyzed retrospectively being inpatient in Central Hospital of Zanzhuang Mining Group from 2006 to 2009.Results Of these 26 patients with IM, male was more than female with average age of 36.6 years old. Liver function of 85 percent patients were abnormal, while 65% splenomegaly, 81% skin rash, 100%EB virus-IgM positive and 50% hepatomegaly. Treatment strategies of IM were antiviral and symptomatically therapy.Conclusion IM diagnosis is difficult due to the variety of clinical features. ......

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