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目的:探讨儿童传染性单核细胞增多症(IM)的临床特征。方法:回顾性分析108例传染性单核细胞增多症患儿的临床资料。结果:IM临床表现以发热,咽峡炎,肝脾和淋巴结肿大最常见,鼻塞,眼睑浮肿也是重要体征。外周血出现异型淋巴细胞及EBV-IgM抗体检测可帮助确诊。结论:应重视IM临床特点,有助于早期诊断并提高确诊率。多数预后良好。
Objective: To investigate the clinical features of childhood infectious mononucleosis (IM). Methods: A retrospective analysis of 108 cases of infectious mononucleosis in children with clinical data. Results: IM clinical manifestations of fever, angina, liver and spleen and enlarged lymph nodes are the most common, nasal congestion, eyelid edema is also an important sign. Peripheral blood showed abnormal lymphocytes and EBV-IgM antibody test can help confirm the diagnosis. Conclusion: It is important to pay attention to the clinical features of IM, to help early diagnosis and improve the diagnosis rate. Most prognosis is good.