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目的:分析手足口病危重型患儿临床特征及临床治疗效果。方法:对2010年1月～2012年7月8例手足口病危重型患儿的临床表现、治疗及转归进行回顾性分析。结果:8例手足口病危重型均有微循环障碍,6例死亡。手足口病危重型并发微循环障碍发生率高,死亡率高。结论:手足口病危重型病例诊疗的关键在于及时准确地甄别确认第2期(神经系统受累期)、第3期(心肺功能衰竭前期),在心肺功能衰竭前期要及早应用扩血管药物。
Objective: To analyze the clinical characteristics and clinical treatment of critically ill children with hand-foot-mouth disease. Methods: The clinical manifestations, treatment and prognosis of 8 critically ill children with HFMD from January 2010 to July 2012 were analyzed retrospectively. Results: 8 cases of hand, foot and mouth disease were all microcirculation and 6 cases died. Hand-foot-mouth disease critically ill concurrent microcirculation high incidence, high mortality. Conclusion: The key to the diagnosis and treatment of HFMD cases is the timely and accurate identification of the second phase (nervous system involvement phase) and the third phase (cardiopulmonary failure phase), and the early application of vasodilator drugs in cardiopulmonary failure.