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目的探讨手足口病患者的临床表现及防治方法。方法回顾分析2008年5月至8月嘉兴市第一医院收治的160例手足口病患儿的临床资料。结果发病率以2～5岁的学龄前儿童较高,共88例(55.0%)。所有患者均有典型的临床表现,均以发热为首诊,皮疹发生率为100%。血白细胞计数升高(WBC>10×109/L)79例(49.4%),其中以淋巴细胞比例升高为主。谷草转氨酶升高(AST>50IU/L)5例(3.1%)。所有患儿经抗病毒及对症治疗均痊愈,未发现严重并发症,预后良好。结论及早隔离治疗可有效防止严重并发症及本病的传播流行。
Objective To investigate the clinical manifestations and prevention and treatment of hand, foot and mouth disease patients. Methods The clinical data of 160 children with hand-foot-mouth disease admitted to the First Hospital of Jiaxing from May to August 2008 were retrospectively analyzed. Results The incidence of preschool children aged 2 to 5 years was higher, a total of 88 cases (55.0%). All patients have a typical clinical manifestations, are the first diagnosis of fever, rash incidence was 100%. 79 patients (49.4%) had elevated white blood cell count (WBC> 10 × 109 / L), and the proportion of lymphocytes increased. Aspartate aminotransferase increased (AST> 50IU / L) in 5 cases (3.1%). All children were cured by antivirus and symptomatic treatment, no serious complications were found and the prognosis was good. Conclusion Early isolation treatment can effectively prevent the serious complications and spread of the disease.