Pediatric intensive care hand foot and mouth disease.docVIP

 PAGE \* MERGEFORMAT 5 Pediatric intensive care hand foot and mouth disease [Keywords:] hand, foot and mouth disease, care Hand, foot and mouth disease (HFMD is a common intestinal disease caused by a virus, one of the number of children showed more hand, foot, mouth and other parts of the rash, the prognosis is good, a few children can be expressed as serious damage to the central nervous system, causing neurogenic pulmonary edema, aseptic meningitis, acute flaccid paralysis, the disease progresses rapidly, and high mortality [12]. our hospital from May 2008 to June 2008 were treated 18 cases of HFMD in children with severe high-risk, after careful clinical observation and nursing care, and achieved satisfactory results. now reported as follows Nursing. 1 Clinical data The group of 18 patients with severe high-risk patients, including 13 males and 5 females, disease duration was 7 ~ 14 d. The youngest 7 months, maximum 9 years old, in which patients were younger than 3 years old in 11 cases, 3 to 7 years 6 cases, 1 case of more than 7 years old. clinical diagnosis of hand, foot and mouth disease were found in children with severe high-risk criteria. All the patients were placed in PICU, the care given under the anti-virus, fever and other treatment, while taking intensive treatment. Treatment measures: large dose of intravenous immune globulin, high-dose methylprednisolone pulse therapy, mannitol reduce intracranial pressure, if necessary, addition of albumin and furosemide, respiratory support, in a timely manner tracheal intubation, the use of positive pressure ventilation. 2 Care 2.1 environmental disinfection, and skin care to patients in a timely manner isolated, placed in air flow and temperature suitable for the ICU ward, the implementation of the system without escort. UV circular machine regularly disinfected daily with 500 mg / L chlorine disinfectant spray. Sick room mop-specific, and to mark the first use after use 1 000 mg /