十堰5岁宝宝反复发烧,确诊“亲吻病”!医生提醒
<section style="margin-bottom: 0px;white-space: normal;font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.582857px;background-color: rgb(255, 255, 255);text-align: center;"><span style="letter-spacing: 0.544px; white-space: pre-wrap; background-color: initial; font-size: 18px; font-family: sans-serif;">十堰5岁女孩囡囡</span><span style="letter-spacing: 0.544px; white-space: pre-wrap; background-color: initial; font-size: 18px; font-family: sans-serif; outline: 0px; color: rgb(136, 136, 136); visibility: visible;">(化名)</span><br/></section><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">反复发热、咽喉痛</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">家长原以为是感冒</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">便给她吃了感冒药和退烧药</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">没想到几个小时后</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">囡囡不仅又开始发烧</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">还出现眼睑水肿、鼻塞等情况</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><br style="outline: 0px;visibility: visible;"/></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">向太和医院儿科专家求助后</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;visibility: visible;">家人才得知</span><span style="outline: 0px;letter-spacing: 0.034em;font-size: 18px;visibility: visible;">囡囡并非感冒</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.034em;font-size: 18px;visibility: visible;">而是得了一种</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><span style="outline: 0px;font-size: 18px;letter-spacing: 0.034em;visibility: visible;">尤其爱对孩子“兴风作浪”的</span></p><p style="outline: 0px;text-align: center;visibility: visible;"><strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;background-color: rgb(171, 25, 66);font-size: 18px;color: rgb(255, 255, 255);visibility: visible;"> 传染性单核细胞增多症 </span></strong></p><p style="outline: 0px;visibility: visible;"><br style="outline: 0px;visibility: visible;"/></p><p></p><section style="outline: 0px;visibility: visible;"></section><section style="outline: 0px;"><strong style="outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.034em;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 18px;letter-spacing: normal;text-indent: 34px;">传染性单核细胞增多症</span></strong></section><section style="outline: 0px;"><section style="outline: 0px;text-indent: 0em;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 18px;letter-spacing: normal;"><strong style="outline: 0px;">又被称为“亲吻病”<br style="outline: 0px;"/></strong></span></section><strong style="outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.034em;"><span style="outline: 0px;font-size: 18px;color: rgb(0, 122, 170);">主要为唾液传播</span></strong></section><p></p><hr style="outline: 0px;border-style: solid;border-right-width: 0px;border-bottom-width: 0px;border-left-width: 0px;border-color: rgba(0, 0, 0, 0.1);transform-origin: 0px 0px;transform: scale(1, 0.5);"/><p></p><section style="outline: 0px;text-indent: 2em;line-height: 1.75em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;">囡囡在太和医院检查后,被确诊为传染性单核细胞增多症。家人都懵了:“这是啥病?怎么没听说过?”</span></section><section style="outline: 0px;text-indent: 2em;line-height: 1.75em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;"><br style="outline: 0px;"/></span></section><section style="outline: 0px;text-indent: 2em;line-height: 1.75em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">面对家长的疑惑,太和医院和医院儿童医疗中心副主任医师罗新兵介绍,传染性单核细胞增多症简称“传单”,<span style="outline: 0px;color: rgb(171, 25, 66);"><strong style="outline: 0px;">主要是由EB病毒原发感染所致的急性或亚急性良性淋巴细胞增多性传染病。</strong></span>EB病毒主要通过密切接触病人唾液传播,因此该病也被称之为“亲吻病”。</span></section><p></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">传染性单核细胞增多症全年均有发病,主要为儿童和青少年易感染,是一种<span style="outline: 0px;color: rgb(171, 25, 66);"><strong style="outline: 0px;">良性自限性疾病</strong></span>,<span style="outline: 0px;">病程一般为1-2周,</span>多数预后良好,但也可能会发生如上气道梗阻、脑炎、脑膜炎、心肌炎、溶血性贫血、血小板减少性紫癜等并发症,少数可出现噬血细胞综合征等严重并发症;<span style="outline: 0px;">部分患者低热、淋巴结肿大、乏力、病后乏力可持续数周或数月,</span><span style="outline: 0px;">极个别者</span><span style="outline: 0px;">病程迁延</span><span style="outline: 0px;">达数年之</span><span style="outline: 0px;">久。</span></span></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><br style="outline: 0px;"/></p><p style="outline: 0px;"><strong style="outline: 0px;"></strong></p><p></p><section style="outline: 0px;line-height: 1.75em;"><strong style="outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.034em;"><span style="outline: 0px;letter-spacing: normal;font-size: 18px;color: rgb(0, 122, 170);">孩子出现这些病症</span></strong></section><section style="outline: 0px;line-height: 1.75em;"><strong style="outline: 0px;"><span style="outline: 0px;letter-spacing: normal;font-size: 18px;color: rgb(0, 122, 170);">可能感染了“亲吻病”</span></strong></section><p></p><hr style="outline: 0px;border-style: solid;border-right-width: 0px;border-bottom-width: 0px;border-left-width: 0px;border-color: rgba(0, 0, 0, 0.1);transform-origin: 0px 0px;transform: scale(1, 0.5);"/><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">罗新兵介绍,传染性单核细胞增多症的典型临床“三联征”为<span style="outline: 0px;color: rgb(171, 25, 66);"><strong style="outline: 0px;">发热、咽峡炎和颈部淋巴结肿大</strong></span>,可伴有肝脾肿大,并出现异型淋巴细胞增多为特征。</span></p><p></p><section style="outline: 0px;line-height: 1.75em;text-indent: 0em;"><br style="outline: 0px;"/></section><section data-id="134416" style="margin-bottom: unset;outline: 0px;"><section style="margin: 10px auto;padding: 13px;outline: 0px;background-color: rgb(244, 250, 255);"><section style="margin-bottom: unset;outline: 0px;display: flex;justify-content: flex-start;align-items: center;"><section style="margin-bottom: unset;outline: 0px;flex-shrink: 0;"><section style="margin-bottom: unset;outline: 0px;width: 30px;"><p style="outline: 0px;"></p></section></section><section style="margin-bottom: unset;outline: 0px;display: flex;align-items: flex-end;"><section style="margin-bottom: unset;padding-bottom: 3px;outline: 0px;flex-shrink: 0;"><section style="margin-bottom: unset;outline: 0px;width: 15px;"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 25 21.03" style="display:block;" data-height="100%"><path style="fill:#74C3FF;fill-rule:evenodd;" d="M469.006,7358.98l-25.018,21.03h22.239Z" transform="translate(-444 -7358.97)"></path></svg></section></section><section style="margin-left: -10px;padding: 4px 15px;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);background-color: rgb(116, 195, 255);border-radius: 25px;"><p style="outline: 0px;"><strong style="outline: 0px;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 34px;">具体特征包括:</span></strong></p></section></section></section><section data-autoskip="1" style="margin-bottom: unset;padding-top: 7px;outline: 0px;line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: rgb(51, 51, 51);background-color: transparent;"><p style="outline: 0px;"><br style="outline: 0px;"/></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;text-indent: 34px;letter-spacing: normal;">中度发热或高热,发热可持续数天至数周。</span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;text-indent: 34px;letter-spacing: normal;"><br style="outline: 0px;"/></span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;text-indent: 34px;letter-spacing: normal;">出现全身性淋巴结肿大,以颈部、腋下、腹股沟部多见;</span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 34px;background-color: transparent;">淋巴结肿大在第一周达峰值,然后在2-3周内逐渐消退。</span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 34px;background-color: transparent;"><br style="outline: 0px;"/></span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 34px;background-color: transparent;">乏力、咽痛、精神不振,肢体软弱无力;常伴随着咽部炎症和扁桃体渗出液,渗出液可呈白色、灰绿色。</span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;text-indent: 34px;letter-spacing: normal;"><br style="outline: 0px;"/></span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 18px;text-indent: 34px;letter-spacing: normal;">部分患者会伴随肝脾肿大症状,通常在疾病的第三周开始回缩。</span></p></section></section></section><p></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">目前,传染性单核细胞增多症暂无特效治疗措施,一般以对症治疗为主,病情重、进展快或有并发症可给予抗病毒治疗。患者在发病期内注意休息,避免剧烈运动,保持充足的水分摄入,适当缓解症状。</span></p><p style="outline: 0px;"></p><p></p><section style="outline: 0px;line-height: 1.75em;"><strong style="outline: 0px;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;color: rgb(0, 122, 170);">注意!</span></strong></section><section style="outline: 0px;line-height: 1.75em;"><strong style="outline: 0px;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;color: rgb(0, 122, 170);">这些人不要随意亲吻孩子</span></strong><span style="outline: 0px;font-size: 18px;letter-spacing: normal;color: rgb(0, 122, 170);"></span></section><p></p><hr style="outline: 0px;border-style: solid;border-right-width: 0px;border-bottom-width: 0px;border-left-width: 0px;border-color: rgba(0, 0, 0, 0.1);transform-origin: 0px 0px;transform: scale(1, 0.5);"/><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;"></span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;">罗新兵提醒,传染性</span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;">单核细胞增多症主要经口</span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;">传播,也可经飞沫传播和血液传播。</span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;color: rgb(171, 25, 66);"><strong style="outline: 0px;">急性期患者应进行呼吸道隔离,避免亲吻他人或者与他人共用餐具。</strong></span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;text-indent: 2em;">不去人多拥挤的地方,勤洗手,多通风换气。</span></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><br style="outline: 0px;"/></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">另外,作为“亲吻病”,这些人群不要随意亲吻孩子,如</span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;color: rgb(171, 25, 66);"><strong style="outline: 0px;">长水疱、疱疹的人,感冒的人,有口腔疾病的人,拉肚子的人</strong></span><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">等。</span></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;"><br style="outline: 0px;"/></span></p><p style="outline: 0px;line-height: 1.75em;text-indent: 2em;"><span style="outline: 0px;font-size: 18px;letter-spacing: normal;">最后提醒大家,当孩子出现反复发热、扁桃体炎、颈部淋巴结肿大时,要及时就医,避免延误病情。</span></p><p></p><section style="margin-bottom: 0em;font-size: 16px;white-space: normal;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: center;line-height: normal;"><br/></section><p></p><p role="note" aria-label="时长" style="margin-bottom: 0em;padding-top: 8px;white-space: normal;font-size: 14px;outline: 0px;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;line-height: 1.4;background-color: rgb(255, 255, 255);color: rgb(255, 255, 255);top: 48px;left: 0px;right: 0px;text-align: center;"><br/></p><p style="margin-bottom: 0em;font-size: 16px;white-space: normal;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;line-height: 1.6em;background-color: rgb(255, 255, 255);font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="margin-bottom: 0em;white-space: normal;outline: 0px;letter-spacing: 0.544px;color: rgb(34, 34, 34);font-size: 16px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;line-height: normal;"><span style="margin-bottom: 0em;outline: 0px;font-size: 14px;color: rgb(136, 136, 136);letter-spacing: normal;">来源<span style="color: rgb(136, 136, 136); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;">/</span>十堰晚报原创微信</span></p><p style="display: none;"><mp-style-type 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