教育生物学杂志2017，Vol.5Issue(1)：37-41,5.DOI:10.3969/j.issn.2095-4301.2017.01.007
不同年龄儿童传染性单核细胞增多症临床特点分析
Analysis of clinical features of infectious mononucleosis with different age children
王小鹏 1焦瑒瑒 1陈凌 2吴良霞 1张建华1
作者信息
- 1. 上海交通大学附属第六人民医院儿科 中国上海 200233
- 2. 上海交通大学附属儿童医院内科 中国上海 200062
- 折叠
摘要
Abstract
Objective To investigate clinical characteristics of infectious mononucleosis (IM) in children and their relation with the onset ages.Methods From January 2009 to December 2013, 268 cases of IM children by age stages were divided into 4 groups: baby group (≤1 year old), children's group (≤3 years old), preschool group (≤6 years old), and school age group (>6 years old), and were retrospectively analyzed.Results The onset peak was for preschool, and early childhood also accounted for considerable proportion.Fever, lymphnoditis, tonsil effusion, and eyelid edema were found mainly in the older children, and skin rashes were found mainly in younger children with statistical significances (P<0.05).Hepatomegaly rate of children's group was lower than those of preschool and baby groups, and the difference was statistically significant (P<0.05).There were no statistical significances in splenomegaly, thrombocytopenia, and liver function damage rates among all age groups (P>0.05).Anemia and myocardial damage occurred mainly in younger children, and the differences were statistically significant (P<0.05).Abnormal lymphocyte ratio increased with the increase of age.Except baby group, along with the age increasing, CD4+ T cells decreased and CD8+ T cells increased in other groups.Conclusion The clinical features of childhood IM are associated with the age, which needs to be taken into consideration in order to improve the diagnosis of IM.关键词
儿童/传染性单核细胞增多症/EB病毒Key words
children/infectious mononucleosis/Epstein-Barr virus引用本文复制引用
王小鹏,焦瑒瑒,陈凌,吴良霞,张建华..不同年龄儿童传染性单核细胞增多症临床特点分析[J].教育生物学杂志,2017,5(1):37-41,5.
