小儿急性原发性EB病毒感染临床分析.docVIP

精品论文 参考文献 小儿急性原发性EB病毒感染临床分析 刘文梅 　　(新疆昌吉州人民医院儿科 新疆 昌吉 831100) 　　【摘要】目的：分析探讨小儿急性原发性EB病毒感染的临床症状。方法：我院于2013年1月至2016年1月共收治的小儿急性原发性EB病毒感染患儿进行分析，使用ELISA法检查，检测EBV-VCA-IgM，阳性110例。结果：110例患儿中，传染性单核细胞增多症6例占5.5%，急性上呼吸道感染44例占40.0%，淋巴结炎9例占8.2%，急性支气管炎或肺炎28例25.5%，病毒性脑炎4例占3.6%，病毒性心肌炎6例占5.5%，特发性血小板减少性紫癜7例占6.4%，过敏性紫癜5例占4.5%，川崎病1例占0.9%。结论：小儿急性原发性EB病毒感染会导致呼吸系统、神经系统、循环系统等的严重损伤，及时治疗，能有效控制病情。 　　【关键词】EB病毒感染；小儿急性原发性；临床分析 　　【中图分类号】R720.5 【文献标识码】A 【文章编号】2095-1752（2016）22-0058-02 　　Children with acute primary EB infection, clinical analysis Liu Wenmei. 　　The Peoples Hospital of Changji , Xinjiang, Changji 831100, China 　　【Abstract】Objective To analyze the clinical symptoms of children with acute primary EB infection. Methods In our hospital from January 2013 to January 2016 were admitted to the pediatric acute primary EB virus infection were analyzed using the ELISA method examination, 110 cases were EBV-VCA-IgM positive. Results In 110 cases of infectious mononucleosis in 6 cases accounted for 5.5%, accounted for 40% of 44 cases of acute upper respiratory tract infection, lymphadenitis in 9 cases accounted for 8.2%, 25.5% in 28 cases of acute bronchitis or pneumonia, 4 cases of viral encephalitis were accounted for 3.6%, accounted for 5.5% of 6 cases of viral myocarditis, idiopathic platelet reduction purpura in 7 cases accounted for 6.4%, 5 cases of allergic purpura disease in 1 cases accounted for 4.5%, Kawasaki accounted for 0.9%. Conclusion Children with acute primary EB infection may lead to respiratory system, nervous system, circulatory system and other serious damage, timely treatment, can effectively control the disease. 　　【Key words】 EB virus infection; Children with acute primary; Clinical analysis 　　EB病毒（Epstein-Barr病毒）是传染性单核细胞增多症的病原体，在儿科是属于常见的病毒感染性疾病，主要通过唾液传播，而大多数儿童感染均为无症状感染少数会导致传染性单独细胞增多症。由于感染的不同程度会引起多个系统的疾病，本文对110例小儿急性原发性EB病毒临床症状进行分析，现在汇报如下。 　　1.资料与方法 　　1.1 一般资料 　　我院于2013年1月至2016年1月共收治的小儿急性原发性EB病毒感染患儿共有110例，年龄1～9岁，平均年龄（2.4plusmn;1.8）岁，症状有