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目的:探讨重症婴幼儿手足口病的临床特点及其诊断和治疗方法。方法:回顾性分析18例重症婴幼儿手足口病患儿的临床特征、诊治过程并进行讨论。结果:15例患儿急性起病,以发热伴口腔、手、足、臀部皮疹,3例有前驱症状;患儿的呼吸、循环系统或神经系统功能均有不同程度的受累。结论:重症手足口病患儿起病急、变化快,除对症治疗外,酌情应用糖皮质素和丙种球蛋白治疗,呼吸功能障碍时予正压机械通气。
Objective: To explore the clinical features of HFMD in infants and young infants and its diagnosis and treatment. Methods: The clinical features, diagnosis and treatment of 18 HFMD children were retrospectively analyzed and discussed. Results: 15 cases of children with acute onset, fever with oral, hand, foot and buttocks rash, 3 cases of prodromal symptoms; children with respiratory, circulatory or nervous system functions have varying degrees of involvement. Conclusion: Children with severe hand-foot-mouth disease have acute onset and rapid change. In addition to symptomatic treatment, glucocorticoid and gamma globulin are used as appropriate, and positive pressure mechanical ventilation is used when respiratory dysfunction occurs.