小儿手足口病74例临床分析  

Analysis the clinical features and treatment of hand-foot-mouth disease

作　　者：徐爱丽[1] 舒敏[1] 邓建军[1] 万朝敏[1] 

机构地区：[1]四川大学华西第二医院儿科,四川成都610041

出　　处：《西部医学》2010年第2期278-280,共3页Medical Journal of West China

摘　　要：目的探讨小儿手足口病发病的临床特点及治疗经验。方法分析74例手足口病患儿的临床资料。经治病例无合并其他症状者43例(58.1%),合并呼吸道或(和)消化道症状者15例(20.3%),合并病毒性脑炎或脑膜脑炎、心肌炎等重症倾向者16例(21.6%)。对轻症病例行抗病毒和对症治疗;对重症倾向病例在抗病毒、对症治疗基础上给予甲基强的松龙或地塞米松、静注丙种球蛋白治疗。结果痊愈71例,好转3例,无1例发展为重症或死亡。结论小儿手足口病只要及时、早期诊断治疗,注意生命体征监测及症状体征的变化,及时采取对策,预后均较好。disease. Methods Objective To analysis the clinical features and treatment experience of the children hand-foot-mouth The clinical data including manifestation and therapeutic reaction of the 74 hand-foot-mouth disease children were retrospectively analyzed. Result 43 cases （58.1%） were without complication and 15 cases（20. 3%） developed with respiratory and/or alimentary complication. 16 patients （21.6 %）with viral encephalitis or meningocephalitis, infective myoearditis were tend to be severe cases. For the mild cases, we took the routine management including antiviral therapy and symptomatic treatment. Methylprednisolone or decaesadril and IVIG were given to the serious cases, additionally. 71 cases were cured and 3 cases improved without progression and death. Conclusion The prognosis of hand-food-mouth disease will be ideal with proper treatment, early diagnose and prompt adjustment of therapy according to vital sign.

关 键 词：小儿手足口病 临床特点 治疗 

分 类 号：R725.9[医药卫生—儿科]