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目的探讨小儿传染性单核细胞增多症(IM)的临床特征。方法回顾性分析2010年1月至2013年6月人类疱疹病毒感染致IM 84例患儿的临床特点。结果 84例患儿住院治疗4~25 d,1周内体温降至正常60例,2周内体温降至正常24例;合并肝功损害、淋巴结及皮疹等患儿各项实验室指标均在2~4周达正常水平。结论多角度思维、分析IM患儿的临床特征和实验室检查结果,可有效降低漏诊率。
Objective To investigate the clinical features of childhood infectious mononucleosis (IM). Methods A retrospective analysis was performed on the clinical features of IM 84 cases from January 2010 to June 2013 with herpes simplex virus infection. Results Eighty-four children were hospitalized for 4-25 days, their body temperature dropped to normal in 60 cases in one week, and their body temperature dropped to normal in 24 weeks. The laboratory indexes of children with liver damage, lymph node and rash were 2 to 4 weeks up to normal levels. Conclusions Multi-angle thinking, analysis of clinical features and laboratory tests in children with IM can effectively reduce the rate of misdiagnosis.