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目的探讨重症手足口病的临床特点及治疗措施。方法回顾性分析125例重症手足口病的临床资料,分析患儿的临床特征及诊治过程。结果重症病例多发生在婴幼儿,起病急、进展快、持续发热,患儿均有皮疹,易惊,精神差,肢体运动障碍,嗜睡,呕吐,突发呼吸急促,发绀,短暂性血压升高,心动过速,危重患儿出现神经源性肺水肿及循环衰竭。125例中,治愈121例,自动出院2例,死亡2例。结论早期发现是提高抢救成功率的关键,快速脱水降颅压、合理应用糖皮质激素、大剂量丙种球蛋白的应用是主要的治疗措施。
Objective To investigate the clinical features and treatment of severe hand-foot-mouth disease. Methods The clinical data of 125 cases of severe HFMD were retrospectively analyzed. The clinical features and diagnosis and treatment of children with HFMD were analyzed. The results of severe cases occurred in infants and young children, onset, rapid progress, persistent fever, children have a rash, easy to shock, mental retardation, limb movement disorders, lethargy, vomiting, sudden shortness of breath, cyanosis, transient blood pressure High, tachycardia, critically ill children with neurogenic pulmonary edema and circulatory failure. In 125 cases, 121 cases were cured, 2 cases were discharged automatically and 2 died. Conclusion Early detection is the key to improve the success rate of rescue. Rapid dehydration reduces intracranial pressure, rational use of glucocorticoid and high dose of gamma globulin are the main therapeutic measures.