Critically ill children with severe hand foot and mouth first aid and care.docVIP

 PAGE \* MERGEFORMAT 8 Critically ill children with severe hand foot and mouth first aid and care [Abstract] Objective 23 cases of critically ill children with severe hand, foot and mouth first aid, hand, foot and mouth of the rescue of critically ill intensive methods. Methods From 200821 April to 24 May has been 23 cases of HFMD were admitted in critical condition re- treatment and care of children with clinical data. Results After emergency treatment in children with severe cases of 23 patients with 17 patients, 3 died, giving up 1 case still under treatment in 2 cases. Conclusion HFMD patients in critical condition after the prompt and effective re- rescue and care measures to achieve a satisfactory therapeutic effect. [Keywords:] hand, foot and mouth disease, critical illness, first aid, care HFMD (hand-foot and mouth disease, HFMD is caused by intestinal viruses, mainly in children under 5 years of age, the main group of pathogens is the Coxsackie virus type 16 and enterovirus 71, hand for hand, foot, mouth Herpes or blisters site is characterized by severe if not treated can lead to meningitis, encephalitis, myocarditis, pulmonary edema. has been reported HFMD epidemics associated with high mortality [1] .2008 April 21 to May 24 Second People’s Hospital of Fuyang City received 23 cases of critically ill children, by actively rescue and careful nursing, and achieved satisfactory results, are as follows. 1 Clinical data 1.1 General information on 23 patients in this group of children, aged 5 months to 3 years old, 6 females, 17 males and onset time of 3 to 5 days, 14 cases of mechanical ventilation, mechanical ventilation days 1 to 20 days. 1.2 children with clinical manifestations of a continued high fever, rectal temperature 39 ~ 40 , coma, convulsions, foaming at the mouth, lips and limbs, peripheral cyanosis, shortness of breath or irregular, white or pink foam cough sputum, increased heart rate, pale fast or slow, the pulse weakened