论文部分内容阅读
目的了解儿童EB病毒感染的临床特点,提高儿科医师早期诊断水平。方法对确诊EBV感染的65例儿童临床表现、诊断、预后、实验室检测资料进行回顾性分析。结果主要临床表现为:发热92.30%、咽痛咽峡炎78.46%、淋巴结肿大81.53%、咳嗽55.38%、肝脏肿大18.46%、脾脏肿大16.92%、皮疹15.38%、眼睑浮肿12.30%等。实验室检查:白细胞升高占47.69%,淋巴细胞>50%占50.76%,传单中变异淋巴细胞>0.10占16.92%,肝脏、心肌受损率高。结论儿童EBV感染临床表现复杂多样,可累及多个系统,以呼吸系统为主,预后良好,荧光定量PCR对EBV检测有助于诊断。
Objective To understand the clinical features of children with Epstein-Barr virus infection and to improve the early diagnosis of pediatricians. Methods The clinical manifestations, diagnosis, prognosis and laboratory test data of 65 children with confirmed EBV infection were retrospectively analyzed. Results The main clinical manifestations were fever 92.30%, pharyngodynia 78.46%, lymphadenopathy 81.53%, cough 55.38%, liver enlargement 18.46%, splenomegaly 16.92%, skin rash 15.38% and eyelid edema 12.30%. Laboratory tests: white blood cells accounted for 47.69%, lymphocytes> 50% accounted for 50.76%, leaflets in the variant lymphocytes> 0.10 accounted for 16.92%, liver, myocardial damage rate. Conclusion The clinical manifestations of EBV infection in children are complex and diverse, involving multiple systems, mainly respiratory system, with good prognosis. Fluorescent quantitative PCR is helpful for the diagnosis of EBV.