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目的观察小儿危重型手足口病(HFMD)的早期干预治疗效果。方法将2011年3月至2012年4月在我院治疗的183例危重型HFMD患儿随机分为两组,观察组在常规治疗基础上采取早期机械通气联合亚低温及脑保护剂使用等治疗措施,比较两组患儿在PICU平均住院时间、肺水肿、肺出血发生率等。结果观察组患儿在PICU平均住院时间、意识障碍、休克及肺水肿发生率均明显低于对照组(P<0.05)。结论对危重型HFMD早期采取相应的干预治疗措施可以改善患儿的临床症状,提高其治愈率,降低致残率。
Objective To observe the effect of early intervention in the treatment of critically ill hand-foot-mouth disease (HFMD) in children. Methods 183 cases of HFMD in our hospital from March 2011 to April 2012 were randomly divided into two groups. The observation group received conventional mechanical ventilation combined with mild hypothermia and cerebral protection agent Measures, the average PICU hospitalization time, pulmonary edema, incidence of pulmonary hemorrhage and other two groups were compared. Results The average length of hospital stay, disturbance of consciousness, shock and pulmonary edema in the PICU group were significantly lower than those in the control group (P <0.05). Conclusion Early treatment of critically ill HFMD with appropriate interventions can improve the clinical symptoms, improve the cure rate and reduce the morbidity.