33例重症手足口病临床分析  

Thirty-three critical cases of hand,foot and mouth disease

作　　者：焦秀娟[1] 王晋生[1] 李旭丽[1] 赵莉利[1] 贾春辉[1] 郎晓林[1] 吴立海[1] 

机构地区：[1]秦皇岛市第三医院感染科,066000

出　　处：《传染病信息》2011年第2期106-108,共3页Infectious Disease Information

摘　　要：目的总结重症手足口病的临床特点和治疗措施。方法应用回顾性分析的方法对我院2010年所收治的重症手足口病患者的相关资料进行分析。结果重症手足口病多发生于3岁以下儿童,农村患儿多见。临床表现除皮疹外,多有发热、头痛、呕吐、肢体抖动、易惊等症状。外周血WBC总数轻度升高,血糖略高。脑脊液压力增高,多呈病毒性脑膜炎改变。重症患儿均为EV71感染。结论及早筛查出重症患儿并参照指南积极治疗是救治成功的关键。Objective To summarize the clinical characteristics and treatment strategies in critical cases of hand, foot andmouth disease （HFMD）. Methods Clinical data of critical HFMD patients admitted to our hospital in 2010 were analyzed retro-spectively. Results Severe HFMD occurred in children under 3 years old, more common in rural children. The main manifestationswere fever, headache, vomiting, limb shaking and being easy to panic as well as rash. Slightly elevated peripheral WBC and bloodglucose were seen. Cerebrospinal fluid pressure increased, mainly developing viral encephalitis. The critical HFMD patients were allinfected by EV71. Conclusion Early screening of critical HFMD patients and giving active treatment according to guidelines arecrucial for successful treatment.

关 键 词：手足口病 危重病 体征和症状 

分 类 号：R512.57[医药卫生—内科学]