小儿EB病毒感染性咽炎与肠系膜淋巴结炎的相关性探讨.docVIP

精品论文 参考文献 小儿EB病毒感染性咽炎与肠系膜淋巴结炎的相关性探讨 1.四川省营山县人民医院儿科637700；2.重庆医科大学附属儿童医院 40014 摘要：目的：探讨小儿EB病毒感染性咽炎与肠系膜淋巴结炎的相关性。方法：回顾性分析我院2010年1月-2014年8月接收的咽炎伴消化道症状356例患儿的临床资料，采用血清ELISA法对其检测，将162例EBV-VCA-IgM阳性患儿作为观察组，结果为阴性患儿作为对照组，经超声检查后，对比其肠系膜淋巴结最大数量、大小与血流情况。结果：对照组肠系膜淋巴结炎11例，观察组为43例，组间比较差异显著，有统计学意义（P＜0.05）。结论：小儿EB病毒感染性咽炎与肠系膜淋巴结炎具有一定的相关性，采用血清ELISA法检测EBV-VCA-IgM或给予其彩色多普勒超声检查有助于临床诊断。 关键词：小儿；EB病毒感染；咽炎；肠系膜淋巴结炎；相关性 Association of EB virus-induced pharyngitis with mesenteric lymphadenitis in children [Abstarct]Objective：To analyze the clinical correlation between EB virus-induced pharyngitis withgastrointestinal symptoms and mesenteric lymphadenitis in children.Methods：The 356 cases of pharyngitis in children with gastrointestinal symptoms as research subjects，aretrospective analysis of their clinical data，are our hospital in January 2010 -2014 in August received its detection by ELISA using serum，the EBV-VCA-IgM-positive children with 162 cases as the observation group，the result is negative children as a control group，after ultrasound contrast their mesenteric lymph node number，size，and blood flow.Results：The control group 11 cases of mesenteric lymph node inflammation，the observation group was 43 cases，significant differences between the two groups was statistically significant（P lt;0.05）.Conclusion：EB virus infection in children with pharyngitis and mesenteric lymph node inflammation has some relevance，detected by ELISA using serum EBV-VCA-IgM or give help tide ultrasound diagnosis. Keywords：Children；EB virus infection；Pharyngitis；mesenteric lymph node inflammation；Correlation 小儿EB病毒感染在临床上较为常见，感染后会使身体多个器官组织受到累及，该病的临床表现可缓可急、可轻可重，6岁以下的儿童多表现为轻型或隐性感染，儿童与青少年则以急性感染较为多见[1]。近年来重症、非典型病例以及疑难病例日渐增多，且部分患儿合并肠系膜淋巴结炎，加大了临床诊断难度，但文献中对小儿 EB感染肠系膜淋巴结炎的报道较为少见[2]。本文将我院接收的356例消化道症状患儿作为研究对象，分析小儿EB病毒感染性咽炎与肠系膜淋巴结炎的相关性，现报道如下。 1资料与方法 1.1一般资料 回顾性分析我院2010年1月-2014年8月接收的咽炎伴消化道症状356例患儿的临床资料，所有患儿均伴不同程度的咽峡炎、腹痛、呕吐症状，实验室检查结果显示颈部淋巴结肿大，部分为腹股沟与腋下淋巴结肿大。参照血清ELISA法的检测结果，将162例EBV-VCA-IgM阳性患儿作为观察组，该组