【摘要】 目的:分析重症手足口病(HFMD)的临床诊治及病原学特点。方法:纳入笔者所在医院收治的89例HFMD患儿为研究对象。记录并分析患儿的临床诊治与病原学特点。结果:HFMD多见于5岁以下婴幼儿、多发于农村地区,症状主要为发热、疱疹、斑丘疹、溃疡、神经系统症状等,危重症患儿普遍出现高血压。病原学检查中危重型阳性率为93.3%,重型阳性率为92.3%,以EV71、CA16为主,经过对症支持、营养、降压治疗,本组患儿均治愈出院。结论:密切观察患儿病情,重视做好病原学检查,是早期识别重症病例的关键,及时控制、治疗高血压,是降低HFMD致残率、病死率的关键。更多还原

【Abstract】 Objective:To analyze the clinical diagnosis and treatment and etiology characteristics of HFMD.Method:89 cases of children with HFMD were selected as the research object.The clinical diagnosis and treatment and etiology characteristics were recorded and analyzed.Result:HFMD was most seen among children under the age of five,happened in rural areas,mainly with fever,herpes,maculopapule,ulcers,neurological symptoms,critically ill children were with high blood pressure generally.Etiology examination positive rate was 93.3%,heavy positive rate was 92.3%,EV71 and CA16 primarily.After treatment with symptomatic support,nutrition and hypotensive therapy,all children in this group were cured and discharged.Conclusion:Closely observation of children’s condition,pay attention to etiology examination,is the key to the early identification of severe cases.Timely control and treatment of high blood pressure is the key to reduce the HFMD morbidity and mortality.更多还原