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目的:总结EB病毒感染引起的不同年龄组传染性单核细胞增多症(IM)的临床特点。方法:回顾性分析78例IM患儿的临床资料。结果:临床表现多样,年龄越小,咽部分泌物越少,婴儿组发热、皮疹、咳嗽发生率较高,幼儿组、学龄前组、学龄组咽峡炎、淋巴结肿大、肝脾肿大均突出,发生率明显高于其他年龄组。结论:IM临床表现多样,需结合临床表现、变异淋巴细胞、EBV-Ig M等综合判断,做到早诊断、早治疗,警惕发生EBV相关性嗜血细胞综合征。
Objective: To summarize the clinical features of infectious mononucleosis (IM) in different age groups caused by Epstein-Barr virus infection. Methods: A retrospective analysis of 78 cases of IM clinical data. Results: The clinical manifestations were diverse, the younger, the less throat secretions, the fever in the infant group, the higher incidence of rashes and cough. The incidence of angina, swollen lymph nodes and hepatosplenomegaly were higher in the infant group, the preschool group and the school-age group Are prominent, the incidence was significantly higher than the other age groups. Conclusion: The clinical manifestations of IM are diverse. Combined with clinical manifestations, variant lymphocytes, EBV-Ig M and other comprehensive judgments, early diagnosis and early treatment should be done to guard against EBV-associated hemophilia syndrome.