89例重症手足口病临诊治特点及病原学分析.docVIP

89例重症手足口病临床诊治特点及病原学分析 　　【摘要】 目的：分析重症手足口病（HFMD）的临床诊治及病原学特点。方法：纳入笔者所在医院收治的89例HFMD患儿为研究对象。记录并分析患儿的临床诊治与病原学特点。结果：HFMD多见于5岁以下婴幼儿、多发于农村地区，症状主要为发热、疱疹、斑丘疹、溃疡、神经系统症状等，危重症患儿普遍出现高血压。病原学检查中危重型阳性率为93.3%，重型阳性率为92.3%，以EV71、CA16为主，经过对症支持、营养、降压治疗，本组患儿均治愈出院。结论：密切观察患儿病情，重视做好病原学检查，是早期识别重症病例的关键，及时控制、治疗高血压，是降低HFMD致残率、病死率的关键。 中国论文网 /6/viewhtm 　　【关键词】 重症手足口病； 临床诊治特点； 病原学分析 　　doi：10.14033/j.cnki.cfmr.2017.27.004 文献标识码 A 文章编号 1674-6805（2017）27-0007-03 　　Analysis of the Clinical Diagnosis and Treatment and Etiology Characteristics of 89 Cases of HFMD/LUO Yun-jiao，DU Zeng-qing ，DU Li-jiang，et al.//Chinese and Foreign Medical Research，2017，15（27）：7-9 　　【Abstract】 Objective：To analyze the clinical diagnosis and treatment and etiology characteristics of HFMD.Method：89 cases of children with HFMD were selected as the research object.The clinical diagnosis and treatment and etiology characteristics were recorded and analyzed.Result：HFMD was most seen among children under the age of five，happened in rural areas，mainly with fever，herpes，maculopapule，ulcers，neurological symptoms，critically ill children were with high blood pressure generally.Etiology examination positive rate was 93.3%，heavy positive rate was 92.3%，EV71 and CA16 primarily.After treatment with symptomatic support，nutrition and hypotensive therapy，all children in this group were cured and discharged.Conclusion：Closely observation of children’s condition，pay attention to etiology examination，is the key to the early identification of severe cases.Timely control and treatment of high blood pressure is the key to reduce the HFMD morbidity and mortality. 　　【Key words】 HFMD； Clinical characteristics of diagnosis and treatment； Etiology analysis 　　First-author’s address：Kunming Children’s Hospital，Kunming 650000，China 　　资料显示，HFMD是儿科十分常见的儿科疾病，具有明显的传染性[1]。作为云南省昆明市HFMD定点医院，肩负着明确HFMD的特点，降低疾病危险性，提高治疗效果，保证患儿身心健康的重任。本文以89例HFMD患儿为研究对象，分析HFMD的临床诊治及病原学特点，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　本研究时间为2016年6月，纳入89例HFMD患儿，入院当日，全部患儿结合临床表现及实验室检查确