摘要
目的:探讨重症手足口病患者的治疗方法。方法:通过对本院2008年1月～2011年6月60例重症手足口病患儿的资料进行回顾性分析,使用脱水降颅压,大量的糖皮质激素治疗和蛋白的静脉补充,同时配合呼吸系统和循环系统的支持治疗。使用脱水降颅压,大量的糖皮质激素治疗和蛋白的静脉补充,同时配合呼吸系统和循环系统的支持治疗。结果:60例患者均为EV71感染,其中5例属于3期A期病例,其余55例均为2期病例,早期均有高热、呕吐、精神萎靡症状,所有患者均有神经系统症状,经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3～5d患者体温恢复正常。结论:重症手足口病救治的关键是密切观察病情变化,早发现、早诊断、早治疗,从而降低手足口病的病死率。
Objective： To investigate the treatment methods of severe hand, foot and mouth disease. Methods： Retrospectively analyzed 60 cases of children with severe hand, foot and mouth disease from January 2008 to June 2011 in our hospital, who were treated with dehydration to relieve the swelling, abundant of glucocorticoid and albumen in vein, coordi- nated with supportive treatment for the respiratory system and circulatory system at the same time. Results： Sixty patients were infected with EVTI, of which 5 cases were the third period of stage A, the remaining 55 cases were the second stage, in the early period all patients had high fever, vomiting, listlessness symptoms, all patients had neurological symptoms, the hand, foot and mouth disease with nervous system infections occured in the course of 2-4 days, 3-5 days after treatment in patients with body temperature returned to normal. Conclusion： The key of intensive treatment of hand, foot and mouth disease is to closely observe the patient＇s condition, the disease should be early detected, early diagnosed and early treated, then reduce the fatality rate of hand, foot and mouth disease.
出处
《中国当代医药》
2011年第36期149-149,151,共2页
China Modern Medicine
关键词
重症手足口病
临床特点
治疗
体会
Severe hand, foot and mouth disease
Clinical features
Treatment
Experience
