急性传染性单核细胞增多症虽属内科疾病,但此病常因咽部感染症状就诊于耳鼻喉科。本病有时在临床上症状变化多端,也易为一般缺乏经验的医生所忽视,造成误诊,故耳鼻喉科医生要对此病有一定认识。现将我院1例报道如下。 1 病例摘要男,30岁。因咽喉肿痛,颈颌下淋巴结肿大,伴高热7～8天,于1989年10月8日上午10时急诊入院。患者5天前因受凉后自觉咽喉部不适,次日上午开始发热,体温高达39℃,自服增效联磺片和解热止痛片,效果不佳。5日上午来我院门诊就医,按急性扁桃体炎,给于青霉素肌注2天,高热仍无缓解,咽喉肿痛加剧,颈颌下淋巴结肿大。8日上午来我院急诊。既往有结核性胸膜炎病史,经抗结核治疗已全愈。无外伤手术史,无药物过敏史。查体:T 38.7℃,P 100次/min,R 24次/min,BP14.6/9.31kPa(110/70mmHg)。病人一般状况好,神志清楚,检 Acute infectious mononucleosis syndrome is a medical disease, but the disease often due to symptoms of pharyngeal treatment in ENT. The disease sometimes clinically varied symptoms, but also easy to ignore the general lack of experience of doctors, resulting in misdiagnosis, so ENT doctors have a certain understanding of the disease. I now report a hospital as follows. 1 case summary male, 30 years old. Due to sore throat, cervical submandibular lymph nodes, with fever 7 to 8 days, at 10 o’clock on the October 8, 1989 emergency admission. Patients 5 days ago due to cold after conscious throat discomfort, the next morning fever, body temperature up to 39 ℃, self-service synergistic effect of anti-inflammatory tablets and anti-inflammatory tablets, poor results. On the morning of the 5th came to our hospital for medical treatment, according to acute tonsillitis, intramuscular injection of penicillin for 2 days, high fever still no relief, aggravated sore throat, cervical submandibular lymph nodes. 8th morning to our hospital emergency room. Past history of tuberculous pleurisy, the anti-TB treatment has been more complete. No trauma surgery history, no history of drug allergy. Examination: T 38.7 ° C, P 100 beats / min, R 24 beats / min, BP 14.6/9.31 kPa (110/70 mmHg). The general condition of patients, conscious, seized