Alberty R
Am J Surg. 1981 May;141(5):559-61. doi: 10.1016/0002-9610(81)90048-9.
A series of 50 consecutive patients admitted to the hospital with a primary diagnosis of infectious mononucleosis is reviewed, with particular emphasis on the abdominal complaints and physical findings. Forty-eight percent of the patients had abdominal pain. Abdominal symptoms were the chief complaint in 24 percent of the patients. Two cases of splenic rupture are presented. One case of spontaneous rupture of the spleen is emphasized, as there are only 18 well-documented cases of true spontaneous rupture of the spleen in infectious mononucleosis. Four young persons with infectious mononucleosis in Portland, Oregon, recently bled to death at home from a ruptured spleen. Guidelines are presented to aid the surgeon in evaluating the patient with infectious mononucleosis. The risk of splenic rupture persists after the patient recovers. Recommendations are made regarding the resumption of physical activity in these young, active patients.
回顾了连续收治的50例以传染性单核细胞增多症为主要诊断的患者，特别关注腹部症状和体格检查结果。48%的患者有腹痛。腹部症状是24%患者的主要诉求。报告了2例脾破裂病例。着重介绍了1例脾自发性破裂病例，因为在传染性单核细胞增多症中，真正的脾自发性破裂仅有18例有充分记录的病例。俄勒冈州波特兰市的4名患有传染性单核细胞增多症的年轻人最近在家中因脾破裂失血死亡。提出了指导方针，以帮助外科医生评估患有传染性单核细胞增多症的患者。患者康复后，脾破裂的风险仍然存在。针对这些年轻、活跃的患者恢复体育活动提出了建议。
