传染性单核细胞增多症并发神经系统改变5例临床观察

• 作 者: 王琪 王琳 林淑贤
• 机 构: 哈尔滨市第一医院,解放军211医院,解放军211医院 150010
• 出 处: 工企医刊
• 发表日期: 1998年03期
• 关键词: 临床观察 多发性神经根炎 淋巴结肿大 脑膜脑炎 秋季发病 症状体征 脾大 嗜异 儿童发病率 临床资料

我们自1980年～1996年共诊治传染性单核细胞增多症42例,其中5例并发神经系统改变,现报告如下。1 临床资料 1.1 一般资料 5例中,男3例,女2例;年龄为5岁1例,6～8岁3例,11岁1例;春季发病2例,冬季发病2例,秋季发病1例,诊断为脑炎3例,脑膜脑炎1例,多发性神经根炎1例。1.2 临床表现 5例发病均有发热、咽峡炎及淋巴结肿大,另外脾大1例,皮疹1例。同时,在发病3～7天间出现神经系统症状,其主要症状有头痛、呕吐、抽搐等。其中1例出现昏迷,1例出现两下肢对称性

We from 1980 to 1996 were diagnosed with infectious mononucleosis in 42 cases, of which 5 cases of concurrent nervous system changes are reported as follows. 1 Clinical data 1.1 General Information 5 cases, 3 males and 2 females; aged 5 years old in 1 case, 6 to 8 years old in 3 cases, 11 years old in 1 case; 2 cases of spring onset, winter onset in 2 cases, fall onset 1 For example, 3 cases were diagnosed as encephalitis, 1 case was meningoencephalitis, and 1 case was multiple radiculitis. 1.2 Clinical manifestations of 5 cases of fever, angina and lymph nodes, another case of splenomegaly, skin rash in 1 case. At the same time, in the onset of 3 to 7 days of nervous system symptoms, the main symptoms are headache, vomiting, convulsions and so on. One case coma, one case of lower extremity symmetry