116例重症手足口病临床分析  

Clinical Analysis of 116 Cases of Severe Hand,Foot and Mouth Disease in Hangzhou

作　　者：俞秀丽[1] 过建春[1] 石伟珍[1] 娄国强[2] 

机构地区：[1]杭州市第六人民医院中西医结合科／浙江省传染病重点学科,310004 [2]杭州市第二人民医院

出　　处：《医学研究杂志》2011年第7期44-46,共3页Journal of Medical Research

基　　金：国家中医药管理局行业专项项目(200907001-3)

摘　　要：目的分析、总结重症手足口病病例的临床表现、流行病学特征，帮助及早发现重型病例。方法回顾性分析杭州市第六人民医院2010年4～8月收住院的116例重症手足口病的临床表现、流行病学特征。结果发病年龄以3岁以下为主，发热发生率为100％，出现肢体抖动、肢体无力或肌阵挛症状的占92．24％，反复或持续发热发生率为58．62％，病原学检查肠道病毒71型（EV71）核酸阳性74．51％；死亡4例，占3．45％。结论肢体抖动、肌阵挛、发热持续时间对早期发现重型病例有重要的提示意义。Objective To analyze and summarize the clinical manifestations and epidemic features of severe hand,foot and mouth disease（HFMD） to help to detect these cases early. Methods 116 cases of severe HFMD were retrospectively analyzed from April to Au- gust, 2010 in the Sixth People＇s Hospital of Hangzhou. Results The most cases were less than 3 years old. All the cases had fever. 92.24% cases had limb trembling,limb weakness or myoclonns. 58.62% cases had fever repeatly or persistently. 74.51% cases were pos- itive for Enterovirus 71 （ EV71 ） detected by PCR. The mortality was 3.45 %. Conclusion Symtoms as limb trembling,limb weakness, my- oclonus,duration of fever have important significance for detecting the severe cases early.

关 键 词：手足口病 临床表现 临床分析 

分 类 号：R512.5[医药卫生—内科学]