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目的探讨重症手足口病(Hand foot mouth disease,HFMD)的临床与流行病学特征,及早发现危重症,为重症手足口病的防治提供科学依据。方法回顾性查阅病历,填写个案调查表,应用Excel录入数据库,SPSS18.0软件进行统计分析。结果此次调查55例重症病例,其中危重症13例。4岁及以下占94.55%(52/55),年龄最小者6个月,最大者5岁半,男女性别比为1.9︰1;重症患儿通常有高热、精神差、嗜睡、呕吐、易惊以及肢体抖动等主要临床表现;危重症以3岁以下患儿为主,出现嗜睡、呕吐、呼吸音异常、血性泡沫痰、心率﹥130次/min的可能性高于普通重症患儿,发热持续时间、心率﹥130次/min持续时间、总病程、白细胞计数等指标也高于普通重症患儿。结论重症危重症患儿是手足口病预防工作中的重点关注对象,及时识别重症危重症患儿有助于指导临床救治,减低病死率,同时也能为进一步做好手足口病的防治工作提供科学依据。
Objective To investigate the clinical and epidemiological characteristics of Hand foot mouth disease (HFMD) and to find out critically ill patients early and provide a scientific basis for the prevention and treatment of severe hand-foot-mouth disease. Methods A retrospective review of medical records, fill in the case questionnaire, using Excel input database, SPSS18.0 software for statistical analysis. Results The survey of 55 cases of severe cases, including critically ill 13 cases. 4 years old and below accounted for 94.55% (52/55), the youngest of 6 months, the largest of 5 and a half years old, male to female ratio was 1.9: 1; critically ill children usually have high fever, poor spirit, drowsiness, vomiting, As well as limb jitter and other major clinical manifestations; critically ill to children under 3 years of age, the emergence of lethargy, vomiting, abnormal breath sounds, bloody sputum, heart rate> 130 beats / min is more likely than normal severe children with fever continued Time, heart rate> 130 beats / min duration, the total duration of disease, white blood cell count and other indicators are also higher than the average severe children. Conclusion Severe critically ill children are the focus of HFMD prevention and timely identification of critically ill critically ill children is helpful to guide clinical treatment and reduce the mortality rate. At the same time, it can also provide a good basis for the prevention and treatment of hand, foot and mouth disease Scientific basis.