葡萄球菌性烫伤样皮肤综合征18例临床分析及治疗措施探讨  

Clinical analysis and treatment measures for 18 patients with Staphylococcal scalded skin syndrome

作　　者：朱晓明 周红[1] 葛荣闪 成芳芳[2] Zhu Xiaoming;Zhou Hong;Ge Rongshan;Cheng Fangfang(Department of Pediatrics,Shuyang People’s Hospital,Shuyang 223600,Jiangsu,China;Department of Infectious Diseases,Children’s Hospital of Soochow University,Suzhou 215000,Jiangsu,China)

机构地区：[1]江苏省沭阳县人民医院儿科,江苏沭阳223600 [2]苏州大学附属儿童医院感染性疾病科,江苏苏州215000

出　　处：《右江民族医学院学报》2018年第1期46-47,51,共3页Journal of Youjiang Medical University for Nationalities

基　　金：苏州市医学重点学科-感染性疾病学(Szxk201508)

摘　　要：目的探讨葡萄球菌性烫伤样皮肤综合征(SSSS)的临床特点及治疗策略。方法回顾性分析我院收治的18例SSSS患儿的临床表现和诊治过程。结果 18例葡萄球菌性烫伤样皮肤综合征多发生于4岁以下患儿。烫伤样皮损、口周放射状皲裂、疼痛、尼氏征阳性为主要临床表现。眼、口周常为首发皮损部位。早期合理使用抗生素疗效确切。结论掌握葡萄球菌性烫伤样皮肤综合征的临床特点有利于早期诊断,早期敏感抗生素治疗能有效缓解病情。Objective To explore the clinical characteristics and the therapy strategy for the Staphylococcal scalded skin syndrome(SSSS). Methods The clinical manifestation and the course of diagnosis and treatment of 18 children with staphylococcal scalded skin syndrome cared in our hospital were retrospectively analyzed. Results Eighteen cases of staphylococcal scalded skin syndrome mostly occurred in children under 4 years old.The main clinical manifestations of staphylococcal scalded skin syndrome were scald skin lesion,perioral radial rhagades,pain and positive Nikolsky’s sign.The first sites that skin lesions usually occurred were eyes and mouths.The early rational use of antibiotics was effective for the disease. Conclusion To master the clinical features of staphylococcal scalded skin syndrome is beneficial to early diagnosis,and early sensitive antibiotic treatment can effectively alleviate the disease.

关 键 词：葡萄球菌烧灼性皮肤综合征 金黄色葡萄球菌 抗菌素 

分 类 号：R515.9[医药卫生—内科学]