摘要
目的:探讨手足口病并发中枢神经系统感染的治疗方法,以及早期识别易并发中枢神经系统感染的重症患儿。方法:回顾性分析52例手足口病并发中枢神经系统感染患者的资料。结果:52例患者中5岁以下患者有49例,占94.23%,手足口病并发神经系统感染发生在病程第2~4天,经过治疗后3~5 d,患者体温恢复正常;针刺血痂样皮疹及腹部先出现皮疹的患儿病情重,应考虑肠道病毒71感染。病后便秘的患儿易并发中枢神经系统损害。结论:出现针刺血痂样皮疹及腹部先出现皮疹的手足口病患儿易出现并发中枢神经系统感染,秋冬季节也可出现手足口病发病高峰。对于病后便秘的患儿,早期清洁灌肠有利于病情的控制。手足口病合并中枢神经系统损害若早期诊断、早期治疗可取得较好的疗效。
Objective To investigate the treatments of HFMD with neural system infection.And early recognition to appear with the central nervous system of the children with severe infection.Methods Retrospective analysis 52 children with HFMD with neural system infection.Results 49 cases under the age of 5,accounting for 94.23%,the couse of HFMD with neural system infection in the days of 2-4th,after 3 to 5 days,treatment,body temperature come back to normal.After illness to appear with children constipation of central nervous system damage.Conclusion Rash in abdominal skin of patients who susceptible to central infection.The biggest risk HFMD with neural system infection is at the abdominal rash.Autumn and winter are the highest peak of HFMD with neural system infection.Early diagnosis and early treatment is very important.
出处
《吉林医学》
CAS
2011年第33期7084-7085,共2页
Jilin Medical Journal