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传染性单核细胞增多症早期诊断探讨(1)
http://www.100md.com 2011年9月25日 何逾祥
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     【摘要】目的探讨传染性单核细胞增多症的早期诊断。方法对传染性单核细胞确诊病例进行回顾性研究。将传染性单核细胞增多症早期(起病5天以内)症状、体征和实验室检查结果与主要鉴别诊断疾病进行对比和统计分析、诊断试验分析。结果诊断试验组合发热、颈淋巴结肿大、咽炎/扁桃体炎(伴白色渗出物)、血象标准在诊断传染性单核细胞增多症中的灵敏度、特异度和准确度都比较理想,可作为早期诊断的依据。结论及早进行抗病毒、护肝等治疗,减少不必要的抗生素的应用,缩短病程,减少严重并发症的发生

    【关键词】传染性单核细胞增多症;早期诊断;诊断试验

    Early diagnosis of infectious mononucleosis HE Yu-xiang.The First Peoples Hospital of Foshan City,Foshan City 528000,China

    【Abstract】ObjectiveExplore infectious mononucleosis of early diagnosis.MethodsTo infectious mononuclear cells were confirmed cases. Will infectious mononucleosis (5 days early onset of symptoms, physical signs) and laboratory results and the main differential diagnosis of disease and compares statistical analysis, diagnostic test analysis.ResultsDiagnostic tests combination fever, cervical “enlargement, pharyngitis/tonsillitis (with white exudate), adopted standard in the diagnosis of infectious mononucleosis, due to the sensitivity and accuracy are ideal for, can be used as the basis of early diagnosis conclusion ......

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