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目的分析小儿传染性单核细胞增多症(IM)的临床特点和血液学改变。方法对40例确诊的IM患儿临床资料进行回顾性分析。结果临床表现多样,除发热、咽峡炎、颈部淋巴结肿大外、肝脾肿大、皮疹、肝功能异常、100%有血液学改变,其中外周血异型淋巴细胞大于10%者占100%,13%出现血液系统并发症。结论 IM临床表现及血液学的改变多种多样,临床表现应给予重视,减少误诊和漏诊。
Objective To analyze the clinical features and hematological changes of childhood infectious mononucleosis (IM). Methods The clinical data of 40 confirmed cases of IM were retrospectively analyzed. The results of clinical manifestations varied, in addition to fever, angina, cervical lymph nodes, hepatosplenomegaly, rash, liver dysfunction, 100% hematological changes, of which peripheral blood lymphocytes more than 10% accounted for 100% , 13% of the blood system complications. Conclusion IM clinical manifestations and hematological changes in a variety of clinical manifestations should be given attention to reduce misdiagnosis and missed diagnosis.