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传染性单核细胞增多症患儿呼吸道梗阻是少见而极严重的并发症。本文作者分析了匹兹堡儿童医院1970～1981年间收治的69例患儿,37例(54%)有耳鼻咽喉并发症,其中呼吸道梗阻者25例,眼眶蜂窝织炎3例,鼻衄2例,鼻窦炎2例,扁桃体周围炎2例,面神经麻痹1例,化脓性淋巴结炎1例和外耳道炎1例。传染性单核细胞增多症多发于青少年。本组25例有呼吸道梗阻患儿中16例(60%)在5岁以下。无性别差异,咽喉培养10～15%的患儿为β-溶血性链球菌A群,可选用适当抗生素治疗,氨苄青霉素因常引起皮疹不宜用。传染性单核细胞增多症患儿发生呼吸道梗阻
Respiratory tract obstruction in children with infectious mononucleosis is a rare and extremely serious complication. The authors analyzed 69 patients admitted to Pittsburgh Children’s Hospital between 1970 and 1981 and 37 (54%) had otolaryngology complications, including respiratory tract obstruction in 25, orbital cellulitis in 3, epistaxis in 2, sinus 2 cases of inflammation, 2 cases of peritonsitis, 1 case of facial paralysis, 1 case of purulent lymphadenitis and 1 case of otitis externa. Infectious mononucleosis syndrome occurs in adolescents. The group of 25 patients with respiratory tract obstruction in 16 cases (60%) under 5 years of age. No gender differences, throat training 10 to 15% of children with β-hemolytic streptococcus A group, the choice of appropriate antibiotics, ampicillin often cause rashes should not be used. Infectious mononucleosis syndrome occurs in children with respiratory tract obstruction