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目的总结重症手足口病合并脑干脑炎患儿的临床特点、治疗方法及预后。方法对住院治疗的23例手足口病合并脑干脑炎病例,就其临床表现、治疗方案、临床转归进行分析。结果早期积极给予CPAP呼吸机呼气末正压通气呼吸支持、脱水、激素、静脉用丙种球蛋白等治疗,22例患儿达到临床治愈,未遗留有神经系统后遗症状。结论重症手足口病合并脑干脑炎病例,病情进展迅速,要早期发现,及时干预治疗,则预后良好。
Objective To summarize the clinical features, treatment and prognosis of children with severe HFMD complicated with encephalitis. Methods 23 cases of HFMD complicated with encephalitis encephalitis in hospital were analyzed, and their clinical manifestation, treatment plan and clinical outcome were analyzed. Results In the early stage, CPAP ventilator was used to treat positive end-expiratory pressure ventilation, dehydration, hormones and intravenous gammaglobulin. 22 patients were clinically cured and no neurologic sequelae were left behind. Conclusion Severe hand foot and mouth disease with brain stem encephalitis cases, the rapid progress of the disease, to early detection, timely intervention, the prognosis is good.