about one case of infectious mononucleosis patients care（传染性单核细胞增多症患者的护理）.docVIP

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about one case of infectious mononucleosis patients care（传染性单核细胞增多症患者的护理）.doc

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about one case of infectious mononucleosis patients care（传染性单核细胞增多症患者的护理）

About one case of infectious mononucleosis patients care Infectious mononucleosis syndrome (Infectious mononucleosis is by the EB virus (EBV-induced lymphoproliferative disease with acute self-limiting its clinical features are fever, sore throat, liver, spleen and lymph nodes, skin rash and peripheral blood lymphocytes was significantly increased, and the emergence of abnormal lymphocytes, infection occurs in vivo anti-EBV antibodies by close contact with nose and mouth as the main route of transmission can also be spread by droplets and blood transfusion [1] early years children and adolescents more common in recent years a larger proportion of 16-30 year olds, rare in patients over 35 years of age .15 years of age are mostly young people infected with the typical disease. illness may be long-lasting immunity, the second disease is not common. I Division 1 cases treated at 2010.6 infectious single mononucleosis patients, their clinical symptoms are very typical, aggressive treatment and intensive care, 16 days after the condition was under control improved and discharged. nursing now reported as follows: A case report The patient, male, 18 years old, due to ‘fatigue, fever 10 days, abdominal distension, urine four days’, in 2010.6.17 by clinics to ‘fever of unknown origin’ as the initial diagnosis of income our department treatment examination: T 36.7 ℃ , P 70 beats / min, R 20 beats / min, BP 120/70mmHg, yellowish discoloration of skin and sclera, multiple grain size of the neck lymph nodes, can be touched, no tenderness, hepatosplenomegaly, tenderness, laboratory showed: WBC 18.0 * 109 / L, LYM 11.2 * 109 / L, ALT 344U / L, AST 208U / L, TBIL 107.5mmol / L, Na +132.0 mmol / L, albumin 31.3g / L, EB virus antibody-positive , ECG: frequent PVCs, ultrasound shows: the spleen area. the next day the body temperature rises, private prosecution sore throat, headache, on the fourth day of the ears and neck, a red rash, and gradually throughout the body, diagnosed