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目的探讨重症手足口病的流行与临床特征,以期早发现、早诊断、早治疗,提高抢救成功率,降低死亡率。方法回顾性分析我院2009年4月至2009年8月收住院的40例重症手足口病的流行特征及临床表现。结果发病年龄以3岁以下82.5%,发热97.5%,肢体抖动100%;白细胞(WBC)﹥12×109/L占77.5%,血糖升高占30%,病原学检查EV71阳性47.82%,无死亡病例。结论肢体抖动等是重型手足口病的常见表现,白细胞增高、心肌酶异常和血糖升高是病情进展的重要实验室指标。
Objective To investigate the prevalence and clinical features of severe hand-foot-mouth disease in order to detect early, early diagnosis and early treatment to improve the success rate of rescue and reduce mortality. Methods A retrospective analysis of our hospital from April 2009 to August 2009 admitted to hospital 40 cases of severe HFMD epidemiological characteristics and clinical manifestations. Results The age of onset was 82.5% under 3 years of age with fever of 97.5% and limb jitter of 100%. WBC> 12 × 109 / L accounted for 77.5%, hyperglycemia accounted for 30%, etiological examination of EV71 positive 47.82%, no death Case. Conclusion limb jitter and other hand-foot-mouth disease is a common manifestation of heavy leukocytosis, myocardial enzyme abnormalities and elevated blood glucose is an important laboratory indicators of disease progression.