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目的探讨传染性单核细胞增多症的临床特点、诊断和治疗。方法对45例传染性单核细胞增多症进行回顾性总结分析。结果45例EB病毒IgM抗体为阳性;嗜异凝集素抗体阳性30例(66.67%);外周血异常淋巴细胞在>10%21例(46.67%),支原体抗体阳性4例(8.89%)。并发脑炎、肝功损害、肺炎、肾炎、心肌损害共17例(37.78%),经治疗均痊愈,未遗留后遗症。结论传染性单核细胞增多症具有一定的流行病学特点,临床上易引起多器官系统的损伤,及早诊治,预后一般较好。
Objective To investigate the clinical features, diagnosis and treatment of infectious mononucleosis. Methods 45 cases of infectious mononucleosis were retrospectively analyzed. Results 45 cases of Epstein-Barr virus positive for IgM, 30 cases (66.67%) positive for allo-lectin antibodies, 21 cases (46.67%) for abnormal lymphocytes in peripheral blood and 4 cases (8.89%) for positive mycoplasma antibodies. Concurrent encephalitis, liver damage, pneumonia, nephritis, myocardial damage in a total of 17 cases (37.78%), after treatment were cured, leaving no sequelae. Conclusions Infectious mononucleosis syndrome has certain epidemiological characteristics. It is easy to cause multiple organ system injury in clinic and early diagnosis and treatment. The prognosis is generally good.