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已知上气道梗阻是传染性单核细胞增多症(IM)的一种严重并发症,多见于年长儿和青春期,但是,除了早在1950年以前发表的2例以外,本病发生在3岁以下小儿还没有证明资料。在最近两个月期间,我们遇到3例有上气道梗阻症状和体征的3岁以下患儿都是继发于IM。例1 32个月男孩由于咽痛和两侧颈部肿胀7天入院。他的体温38.1℃,扁桃体肿大确白色渗出斑点,前面颈部淋巴结肿大3×4cm,质硬。呼吸有
Upper airway obstruction is known to be a serious complication of infectious mononucleosis (IM), more common in older children and adolescents, but except for two published as early as 1950, this disease occurs in Children under 3 years of age have not yet proved the information. During the last two months, we encountered 3 cases of children under 3 years of age who had upper airway obstruction symptoms and signs secondary to IM. Example 1 A 32-month-old boy was admitted to hospital for seven days because of sore throat and neck swelling on both sides. His body temperature 38.1 ℃, tonsil enlargement really white exudative spots, front neck lymph nodes 3 × 4cm, hard. Breathing there