小儿手足口病75例临床分析  

Clinical analysis of 75 cases with hand,foot and mouth disease in children

作　　者：王凤英[1] 罗荣华[1] 史宝海[1] 

机构地区：[1]山东省泰安市中心医院儿科,271000

出　　处：《中外妇儿健康（学术版）》2011年第6期22-23,共2页

摘　　要：目的:分析手足口病患者临床特点,探讨其防治。方法:对2010年6月至7月我院手足口病房收治的临床诊断病例的临床资料进行登记,应用描述性统计方法进行分析。结果:手足口病好发于2～5岁的学龄前儿童(54.67%),发热者62例(82.67%);所有患者均有典型的皮疹,以同时出现于手足口腔者为多(42例,56%);血白细胞及血小板计数升高分别为27例(36.00%)和36例(48%);CK-MB和cTnI升高分别为47例(62.67%)和13例(17.33%);胸片、心电图、脑电图异常分别为70例(93.33%)、50例(66.67%)、57例(76%)。所有患儿均痊愈出院。结论:手足口病有其自身的临床特点,开展必要的辅助检查,对异常者提高警惕,筛查出重症(倾向)患儿是提高治愈率,降低死亡率的关键。Objective：To analyze the clinical features of local hand,foot and mouth disease（HFMD）,and to probe the prevention and cure.Methods：The clinical data of clinically diagnosed case in our hospital ward of HFMD from June to July2010 were registered and analyzed by descriptive statistical method.Results：HFMD is predisposing in preschool children of 2~5yease old.The patients of fever were 62 cases（82.67%）.All patients had typical rash,and that of the majority patients（42 cases,56%） occurred simultaneously in hand,foot and mouth.The rising cases of white blood cell and platelet were 27（36.00%） and 36（48%） respectively.The increased cases of CK-MB and cTnI were 47（62.67%） and 13（17.33%） respectively.The abnormal cases of chest X-ray,ECG,EEG were 70（93.33%）、50（66.67%）、57（76%） individually。All patients were recovered and discharged.Conclusion：HFMD has itself clinical characteristics.To carry on necessary accessory examination and keep an eye on abnormal cases to screen severe（tendency） cases are the key of increasing cure rate and decreasing mortality.

关 键 词：手足口病 临床分析 儿童 

分 类 号：R725.1[医药卫生—儿科]