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传染性单核细胞增多症(简称传单),是由EB(Epsteiu—Barr)病毒所致的急性(或亚急性)、良性传染病。本病多发生于儿童,传染方式以经口接触为主,偶尔亦有因输血而传染。 1976年~1977年间,我科先后共收治20余例传单,本文报道不同类型的5例如下。讨论:本病根据临床不同表现可分热型、咽型、肺炎型,腺型及肝炎型等。根据楼方岑氏在1954~1956年所见572例的总结,尚有皮疹型、黄疸型、伤寒型、腮腺炎型、生殖腺型、疟疾型等。最近文献报道,尚有神经病变型、溶血性尿毒综合症型以及合并弥漫性血管内凝血型等。另外一些轻症病人虽有血液形态学的改变,但嗜异抗体阴性,称之为嗜异抗体阴性型。患者早期有高热,例1、4、5持续40℃多日,以后转为低热,连续2~3周。一般肝大限于
Infectious mononucleosis (leaflet) is an acute (or sub-acute) benign disease caused by EB (Epstein-Barr) virus. The disease occurs in children, the main mode of transmission to oral contact, and occasionally also due to blood transfusion. From 1976 to 1977, our department treated a total of more than 20 cases of leaflets. This article reports about 5 cases of different types as follows. Discussion: According to clinical manifestations of the disease can be divided into different types of fever, pharynx, pneumonia, glandular and hepatitis type. According to the concluding summary of 572 cases from 1954 to 1956, there were rash, jaundice, typhoid, mumps, gonadal and malaria. Recently reported in the literature, there are neuropathy, hemolytic uremic syndrome and diffuse intravascular coagulation type. Although some other mild cases of blood morphological changes, but heterophile negative, called the heterophile negative type. Patients with early high fever, 1, 4, 5 for 40 days for many days, later converted to fever, for 2 to 3 weeks. General liver limited