重症小儿手足口病病情进展迅猛,少数患儿预后不佳,个别危重患儿可在较短时间内死亡,使得医务人员措手不及,患儿家属难以接受,甚至引发医疗纠纷〔1〕。但患儿病情的加重都有先兆,都有踪迹可循,通过严密监测,可以及早识别,发现重症病例,及时采取干预措施,调整治疗,阻断病情 Severe hand foot and mouth disease in children with rapid progress of the disease, a small number of children with poor prognosis, individual critically ill children can die in a relatively short period of time, making medical staff caught by surprise, family members are unacceptable, and even lead to medical disputes [1]. However, children with aggravating disease have aura, there are traces of follow, through close monitoring, early identification and found severe cases, timely interventions, adjust the treatment to block the disease