葡萄球菌性烫伤样皮肤综合征42例的临床治疗方法及其效果分析  

CLINICAL TREATMENT METHODS OF 42 CASES OF STAPHYLOCOCCAL SCALDED SKIN SYNDROME AND THEIR EFFECTS

作　　者：黄英举[1] 郑小帆[1] 蓝莉[1] 刘卉[1] 

机构地区：[1]广西钦州市第二人民医院皮肤科,钦州535000

出　　处：《现代预防医学》2011年第1期194-195,共2页Modern Preventive Medicine

摘　　要：[目的]总结葡萄球菌烫伤样皮肤综合征的临床症状并探讨其治疗方法。[方法]选取多年来某院收治的葡萄球菌性烫伤样皮肤综合征患儿病例42例,总结其临床表现及特征,并对两种不同的治疗方法的疗效进行分析。[结果]葡萄球菌烫伤样皮肤综合征一经确诊,需及时给予足量的抗生素治疗;同时本研究观察组27例在对照组常规处理的基础上,采用肾上腺皮质激素类药物地塞米松联合支持疗法进行治疗。患儿退热时间、红斑萎缩时间、表皮剥裸区干燥时间、触痛消退时间及痊愈出院治疗时间均明显优于常规对照组,差异具有统计学意义(P﹤0.05)。[结论]葡萄球菌性烫伤样皮肤综合征是一种严重的感染性疾病,对症足量的抗生素治疗同时,同时联合肾上腺皮质激素及支持疗法,加强患儿口腔、眼部的护理,对其及早痊愈出院有重要作用。[Objective] To summarize the clinical symptoms of staphylococcal scalded skin syndrome, and to explore its treatment. [Methods ] 42 children of staphylococcal scalded skin syndrome in our hospital were selected, summarized the clinical performance and characteristics, and analyzed the two different treatment methods. [ Results] The staphylococcal scalded skin syndrome, once diagnosed, must be given adequate and timely antibiotic treatment; 27 patients in the control group were given the conventional treatment, besides, the use of adrenal corticosteroids dexamethasone therapy combined with support treatment. Children with fever clearance time, erythema shrinking time, epidermal stripping bare area drying time, tenderness fade time and cure time were significantly superior to the control group, the difference was significant （P〈 0.05）. [Conclusion ] The staphylococcal scalded skin syndrome is a serious infectious disease. The adequate antibiotic treatment according to symptoms, at the same time, the supporting treatment combined with adrenal cortex hormone therapy and strengthening the care on children＇s mouths and eyes, have an important role in their early recovery.

关 键 词：烫伤样皮肤综合征 葡萄球菌性 感染 

分 类 号：R753[医药卫生—皮肤病学与性病学]