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目的分析重症手足口病患儿临床特点,探讨机械通气治疗重症患儿的临床效果。方法对机械通气治疗的23例重症手足口病患儿的临床资料回顾性分析。结果 23例患儿,年龄<3岁,占87.0%。病程5 d内,高热,白细胞计数增高、血糖增高是机械通气患儿的危险因素。23例机械通气患儿中,2例抢救无效死亡,1例因家属放弃治疗死亡,余20例患儿治愈,治愈率为87.0%。结论 3岁以下手足口病患儿监测体温、白细胞计数、血糖及神经、循环系统症状,可早期判断病情。机械通气治疗重症手足口病是一种有效治疗方法 ,有利于阻止病情进展,降低病死率。
Objective To analyze the clinical features of severe hand-foot-mouth disease in children and discuss the clinical effect of mechanical ventilation in treating severe children. Methods The clinical data of 23 cases of severe hand-foot-mouth disease treated with mechanical ventilation were retrospectively analyzed. Results 23 cases of children, age <3 years, accounting for 87.0%. Course of disease within 5 d, high fever, increased white blood cell count, high blood sugar is a risk factor for children with mechanical ventilation. Among the 23 cases of children with mechanical ventilation, 2 died of rescue, 1 died because of family members abandonment, and the other 20 cases were cured, the cure rate was 87.0%. Conclusion Children with hand-foot-mouth disease under 3 years old can monitor body temperature, white blood cell count, blood glucose, nerves and circulatory system symptoms, and can judge the disease early. Mechanical ventilation for the treatment of severe hand, foot and mouth disease is an effective treatment to prevent the progression of the disease and reduce the mortality.