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【目的】分析小儿手足口病的临床及诊疗特点,为临床诊治提供参考依据。【方法】回顾性分析了136例手足口病患儿的临床及诊疗特点。【结果】手足口病好发于婴幼儿(84.56%),起病时间以5、6月份多见(占85.3%),易并发下呼吸道感染(81.89%)与心肌酶谱异常(63.71%),病原学检查以柯萨奇病毒感染多见。成功抢救1例为重症EV71感染患儿,其肺部X线变化迅速,且呈多样性改变。【结论】小儿手足口病易并发多器官功能受损,采取综合治疗措施,注意重要器官功能的保护。
【Objective】 To analyze the clinical and diagnostic features of hand-foot-mouth disease in children and provide reference for clinical diagnosis and treatment. 【Methods】 A retrospective analysis of 136 cases of hand, foot and mouth disease in children with clinical and diagnostic features. 【Results】 Hand-foot-mouth disease occurred in infants and young children (84.56%). The onset time was more common in May and June (85.3%), lower respiratory tract infection (81.89%) and abnormal myocardial enzymes (63.71% Etiological examination to coxsackie virus infection more common. One patient successfully rescued children with severe EV71 infection, the pulmonary X-ray changes rapidly, and showed a diversity of changes. 【Conclusions】 Hand-foot-mouth disease in children is easily complicated by multiple organ dysfunction. Comprehensive treatment measures are taken and attention is paid to the protection of vital organ function.