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目的探讨传染性单核细胞增多症伴发多系统、多脏器损害,提高临床医生对本病的认识,提高诊断及治愈率。方法综合分析了30例确诊为传染性单核细胞增多症的临床表现及相关实验室检查和治疗效果。结果①传染性单核细胞增多症的临床表现除发热外,尚有淋巴结肿大、咽痛、肝脾肿大、皮疹、神经系统症状及其他脏器并发症等。②合并其他脏器改变总结与分析结果合并脑膜炎1例,急性咽炎22例,支气管肺炎5例,肾脏改变致肾小球肾炎2例,其中早期眼睑浮肿者30例,肝功转氨酶改变者20例,淋巴结肿大者28例,肝肿大者20例,脾肿大者28例,查出EB病毒抗体者15例。结论根据临床症状,体征和实验室检查,多可获得诊断,对于治疗首选更昔洛韦等抗病毒药,其次根据累及脏器对症治疗。
Objective To explore infectious mononucleosis associated with multiple system and multiple organ damage, improve clinicians awareness of the disease, improve the diagnosis and cure rate. Methods A total of 30 cases of infectious mononucleosis were diagnosed as clinical manifestations and related laboratory tests and treatment. Results ①Infectious mononucleosis syndrome clinical manifestations in addition to fever, there are lymphadenopathy, sore throat, hepatosplenomegaly, rash, neurological symptoms and other organ complications. ② combined with other organs change summary and analysis of results in 1 case of meningitis, acute pharyngitis in 22 cases, 5 cases of bronchial pneumonia, renal changes caused by 2 cases of glomerulonephritis, including 30 cases of early eyelid edema, liver transaminase 20 Cases, swollen lymph nodes in 28 cases, hepatomegaly in 20 cases, splenomegaly in 28 cases, detected in 15 cases of Epstein-Barr virus antibodies. Conclusion According to clinical symptoms, signs and laboratory tests, more diagnosis available, for the treatment of ganciclovir and other antiviral drugs, followed by symptomatic treatment involving organs.