160例危重症手足口病临床分析  

Clinical analysis of 160 cases of severe hand,foot and mouth disease

作　　者：刘峥[1] LIU Zheng(Dept.of Pediatrics,Tai＇an Maternal and Child Health-Care Hospital,Taian 271000,China)

机构地区：[1]泰安市妇幼保健院儿科,山东泰安271000

出　　处：《泰山医学院学报》2018年第8期881-883,共3页Journal of Taishan Medical College

摘　　要：目的了解手足口病危重症病例的临床特点与结局的关联性,为临床危重症病例治疗提供有效干预措施。方法回顾性分析160例2009年4月至2017年9月泰安市妇幼保健院收治的手足口病危重症患儿的临床资料。结果 160例危重型手足口病,均有高热、嗜睡和/或无力、易惊和/或肢体抖动、呼吸急促、外周血白细胞高和/或中性粒细胞比例增高,其次频繁呕吐的76.87%,血压高的21.25%,血糖高的14.38%,四肢末梢循环不良的11.25%,尿潴留的9.38%。结论手足口病危重症病例临床特点具有特征性,可为临床诊治提供可靠临床指导意义,为及时阻断神经源性肺水肿赢得时间,明显提高了危重症的抢救成功率。Objective： To understand the relationship between clinical characteristics and outcome of HFMD critical cases,and to provide effective intervention measures for the treatment of clinical critical cases. Methods： The clinical data of160 children with hand foot and mouth disease（ HFMD） from April 2009 to September 2017 were analyzed retrospectively. Results： 160 cases of severe HFMD were increased,fever,weakness,lethargy and/or irritable and/or limb shaking,shortness of breath,peripheral white blood cells and/or neutrophil proportion,followed by frequent vomiting76. 87%,high blood pressure and high blood sugar in 21. 25%,14. 38%,extremities adverse circulation 11. 25%,urinary retention 9. 38%. Conclusions： The clinical characteristics of HFMD critical cases are characteristic,which can provide reliable clinical guidance for clinical diagnosis and treatment,and win the time for timely blocking the neurogenic pulmonary edema,and significantly improve the success rate of critical care.

关 键 词：手足口病 危重症 临床特点 

分 类 号：R725[医药卫生—儿科]