Broholm A L, Jans H
Medicinsk afdeling, Holstebro Centralsygehus.
Ugeskr Laeger. 1995 Aug 14;157(33):4579-81.
Infectious mononucleosis is a common and benign disease, affecting mainly teenagers and young adults. Patients with IM are often generally advised to restrain from physical exertion for a period of 6 months. We report one case of splenic rupture in a patient with IM which required emergency laparotomy and splenectomy and one case of splenic rupture which was managed with conservative treatment. We have retrospectively examined the 37 cases of IM admitted during the period 1990-1994 and found that liver function tests return to normal within eight weeks. We therefore advise that patients with IM and no abdominal discomfort should limit their physical activity during eight weeks of convalescence. Patients with IM and abdominal pain should be further examined, using imaging procedures.
传染性单核细胞增多症是一种常见的良性疾病，主要影响青少年和青年。通常建议传染性单核细胞增多症患者在6个月内避免体力活动。我们报告了1例传染性单核细胞增多症患者发生脾破裂，需要紧急剖腹手术和脾切除术，以及1例采用保守治疗的脾破裂病例。我们回顾性研究了1990年至1994年期间收治的37例传染性单核细胞增多症患者，发现肝功能检查在8周内恢复正常。因此，我们建议没有腹部不适的传染性单核细胞增多症患者在康复的8周内限制体力活动。有腹部疼痛的传染性单核细胞增多症患者应采用影像学检查手段进一步检查。
