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目的总结传染性单核细胞增多症的临床特点和误诊原因,减少误诊。方法回顾性分析65例传染性单核细胞增多症的临床资料和38例误诊的临床资料,并对误诊情况进行分析。结果 38例误诊,误诊时间为5~10 d,最常见的误诊疾病为化脓性扁桃体炎,其次为肺炎,其他有川崎病、淋巴结炎、肝炎。结论传染性单核细胞增多症病程早期临床表现多样,易误诊,需要详细的病史和体格检查,并且配合实验室检查确诊。提高对本病的认识,合理的相关实验室检查是减少误诊的关键。
Objective To summarize the clinical features and causes of misdiagnosis of infectious mononucleosis and reduce misdiagnosis. Methods A retrospective analysis of 65 cases of infectious mononucleosis clinical data and 38 cases of misdiagnosed clinical data, and misdiagnosis of the situation were analyzed. Results 38 cases were misdiagnosed and the time of misdiagnosis was 5 ~ 10 days. The most common misdiagnosis was septic tonsillitis, followed by pneumonia and the others were Kawasaki disease, lymphadenitis and hepatitis. Conclusion Infectious mononucleosis syndrome early clinical manifestations of diverse, easily misdiagnosed, require a detailed medical history and physical examination, and with laboratory tests confirmed. Improve the understanding of the disease, reasonable and relevant laboratory tests is to reduce the key to misdiagnosis.