手足口病120例临床分析  

Clinical analysis of 120 cases with hand-foot-mouth disease

作　　者：冷建武[1] 王绪韶[1] 胡淑琴[1] 姜开军[1] 

机构地区：[1]安徽省蚌埠市第一人民医院儿科,233000

出　　处：《淮海医药》2011年第4期293-295,共3页Journal of Huaihai Medicine

摘　　要：目的探讨手足口病的临床特征。方法对2010年2月～2011年2月间收治的120例手足口病患儿的临床资料作回顾性分析。结果手足口病多发生于3岁以下婴幼儿,可有发热、皮肤黏膜损害、神经系统受累表现突出,绝大多数预后良好,少数危重患儿可出现神经源性肺水肿或肺出血。通过临床观察,总结发现危重患儿的早期表现的临床经验。结论手足口病主要表现是发热、手足部位疱疹性皮疹,口腔黏膜溃疡或疱疹,部分患儿可累及神经系统,其次是循环系统,重症病例可出现神经源性肺水肿,患儿持续发热3 d以上、皮疹少而直径小且不典型、嗜睡、肌阵挛、血糖升高、WBC增多对早期发现重症病例有提示意义。Objective To explore clinical features of hand-foot-mouth disease（HFMD）.Methods Clinical data of 120 cases of infant patients with HFMD admitted in our hospital between February 2010 and February 2011 were retrospectively analyzed.Results Hand-foot-and-mouth disease often occurs in infants under 3 years old.It is characterized by fever,skin mucosal injury and involvement of nervous system.Most cases are well prognosticated.Neurogenic pulmonary edema or pulmonary hemorrhage might occur in minority of severe infants.Summary was reached through clinical observation in terms of the clinical experience in finding the early symptoms of the severe infant patients.Conclusion HFMD is mainly characterized by fever,herpetiformis in hand and foot,and oral mucosal ulcers or herpes.The nervous system,as well as the circulatory system,may be affected in some children.Neurogenic pulmonary edema may be found in some severe cases.Infants of severe cases may suffer from persistent fever of more than 3 days.Sporadic untypical small herpes may develop.Drowsiness,myoclonus,elevated blood glucose and increased WBC may be taken as significant signs for the early diagnosis of the disease.

关 键 词：手足口病 神经源性肺水肿 婴幼儿 

分 类 号：R725.1[医药卫生—儿科]