重症手足口病52例治疗总结
[摘要] 目的 总结重症手足口病诊治过程中的经验体会，以提高对该病救治的成功率。 方法 回顾性分析笔者所在医院2010年4月~ 11月收治的52例重症手足口病患儿的早期临床表现、治疗要点及转归。 结果 52例重症患儿中无并发症者14例，并发支气管肺炎12例，并发脑炎20例，脑脊髓炎2例，神经源性肺水肿1例，肺出血1例，急性迟缓性麻痹2例。52例重症患儿中最终死亡3例，其中1例因脑脊髓炎并发脑疝而死亡，1例因神经源性肺水肿死亡，1例因肺出血死亡。 结论 重症手足口病患儿在疾病早期有共同的临床特点，如能在神经系统受累早期识别并处理，能防止患儿向危重症发展，降低死亡率及致残率。
[关键词] 重症手足口病；早期识别；临床特点
[中图分类号] R725.1[文献标识码] A[文章编号] 2095-0616（2012）03-
Treatment of fifty-two sever hand foot and mouth disease summing-up
Yin Shengping Jiang Yin Qin Ping Qiu Minghao Li Qiaoyu Ge Shanfei
Department of Infectious Diseases,the Fourth Affiliated Hospital of Guangxi Medical University,Liuzhou 545005,China
[Abstract] Objective To summarize the clinical experience in treating hand foot and mouth disease,to elevate the survival rate. Methods 52 cases of sever HFMD were retrospectively analyzed from April 2010 to November in our hospital. Results 14 cases occurred with no complication,12 cases concurrent with pneumonia,20 cases with encephalitis,2 cases with encephalomyelitis,1 cases with neurogenic pulmonary edema,1 case with pulmonary hemorrhage,2 cases with acute flaccid paralysis (AFP).3 of the 52 cases died of encephalomyelitis combining with brain hernia，neurogenic pulmonary edema,and pulmonary hemorrhage,respectively. Conclusion The similar clinical features appeared at the early stage of sever HFMD. To detect and treat them before the nerve system attacked,may the sever cases be interrupted and prone to a better prognosis.
[Key words] Severe HFMD;Early i...
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