本文报道和分析了原健康成人巨细胞病毒感染4例的主要临床表现——发热、浅表淋巴结肿大、皮疹、肝炎表现、心肌炎、肺炎等以及一些实验室检查的异常结果,并讨论了本病的诊断依据,重点介绍了尿沉渣找巨细胞包涵体作为一项简而易行的诊断方法。原健康成人罹患本病后,一般预后良好,4例患者经对症治疗后,均热退,全身情况好转而出院. This article reports and analyzes the main clinical manifestations of 4 cases of original healthy adult human cytomegalovirus infection - fever, superficial lymph nodes, rash, hepatitis, myocarditis, pneumonia and some abnormal results of laboratory tests, and discussed this The basis for the diagnosis of the disease, focusing on urinary sediment looking for giant cell inclusion as a simple and easy diagnostic method. The original healthy adult suffering from the disease, the general prognosis is good, 4 patients after symptomatic treatment, are hot, the general condition improved and discharged.