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目的探讨机械通气在抢救重症手足口病合并神经源性肺水肿患儿中的作用。方法对38例EV71感染合并神经源性肺水肿的患儿早期进行机械通气治疗。结果痊愈31例,死亡4例,因中枢神经系统严重损伤在神经源性肺水肿控制后自动出院3例。结论 <3岁是手足口病神经源性肺水肿的高发年龄,早期发现机械通气指征,给予合理辅助通气治疗有助于帮助患儿度过肺水肿极期。
Objective To investigate the role of mechanical ventilation in the rescue of severe hand-foot-mouth disease in children with neurogenic pulmonary edema. Methods 38 cases of EV71 infection with neurogenic pulmonary edema in children with early mechanical ventilation. Results 31 cases were cured, 4 died, due to severe central nervous system injury in the control of neurogenic pulmonary edema after 3 cases were discharged automatically. Conclusions <3 years old is the high incidence of neurogenic pulmonary edema in hand, foot and mouth disease. The early detection of mechanical ventilation indications, and appropriate adjuvant ventilation therapy can help to help children with pulmonary edema.