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cheng ren ju xi bao bing du gan ran 54 li lin chuang fen xi
Author(s): 
Pages: 50-52
Year: Issue:  1
Journal: Acta Universitatis Medicinalis Nanjing

Keyword:  巨细胞病毒单核细胞增多症肝炎免疫缺损.感染;
Abstract: 对54例成人巨细胞病毒(CMV)感染分3组进行临床分析。(1)CMV单核细胞增多症;以发热明显而症状消遥,一过性肝功能损害,血液学改变类似传染性单核细胞增多症而EB病毒指标阴性为特征。并发症复杂但预后好。(2)CMV肝炎:临床表现与其他病毒性肝炎相似。以急性黄疸型恢复最快,单纯转氨酶升高次之,无黄疸型较慢。单纯CMV肝炎预后好。(3)免疫缺损者CMV感染;75%病例于免疫抑制治疗后发病。体温高,并发症凶险,半数病人死亡。建议对不明原因高热、肝炎、肺炎,特别是免疫缺损者,要考虑CMV感染的可能。
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