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1、重症EV71感染手足口病13例临床特点及治疗分析任拥军(贵州省沿河县人民医院儿科贵州铜仁565300)【摘要】目的:分析探讨重症手足口病的临床特点及诊断方法。方法:回顾性分析总结14例重症手足口病的临床表现、实验室数据及影像学改变,并学习手足口病相关文献。结果:14例均为小于4岁婴幼儿,以发热、呼吸道感染起病。并发脑炎、消化道出血、肺出血。手足口病病毒检测肠道病毒通用型:阳性,EV71:阳性。肺部有大片炎性实变。10例早期诊断明确,治疗及抢救及时,最终治愈,1例入院时病情较重经抢救无效死亡,2例因早期临床表现不典型,症状较轻,病情突然加重,出现肺出血,虽经积极抢救无效死亡。结论:持续高
2、热,肢体抖动及膝反射亢进对早期发现重型病例有提示意义,白细胞增高、血糖升高患儿病情可能出现加重。详细询问病史、全面体格检查以及必要的辅查(如手足口病病毒肠道病毒:EV71的检测),有助于减少误诊、明确诊断、及早防治严重并发症的发牛及改善预后。【关键词】重症;手足口病;EV71;阳性【中图分类号】R725.1【文献标识码】A【文章编号】2095-1752(2015)14-0046-03Analysisoftheclinicalcharacteristicsandtreatmentof14casesofHFMDsevereEV71infectionRenYongjun.ThePeople'
3、sHospitalofYanheCounty,GuizhouProvionce,Tongren565300,China[Abstract】ObjectiveToanalyzetheclinicalcharacteristicsanddiagnoSticmethodsofseverehandfootmouthdisease.MethodsAretrospectivesummaryof14casesofseverehandfootmouthdiseaseclinicalmanifestations,laboratorydataandimagingchangesandrelatedliter
4、ature,studyofhandfootandmouthdisease.Results14caseswerelessthan4yearsoldinfants,withfever,respiratorytractinfectiononset.Encephalitis,gastrointestinalbleeding,pulmonaryhemorrhage.Handfootandmouthdiseasevirusdetectionofenterovirusuniversaltype:positive,EV71:positive.Alargepulmonaryinflammatorycon
5、solidation.10earlycleardiagnosis,treatmentandtimelyrescue,andultimatelycure,1caseswereseriousconditionafterrescueinvaliddeath,2examplebecausetheearlyclinicalmanifestationisnottypical,thesymptomislighter,theconditionsuddenlyworsened,pulmonaryhemorrhage,althoughaftertherescueinvaliddeathactively.C
6、onclusionPersistentfever,limbshakingkneehyperreflexiaseverecaseshaveimplicationsforearlydetection,leukocytosis,elevatedbloodsugarlevelsinchildrenwiththediseasemayworsen.Adetailedhistory,completephysicalexaminationandnecessaryauxiliaryexamination(suchashandfootandmouthdiseasevirusenterovirus:dete
7、ctionEV71).Occurreneeandimproveprognosiscanreducemisdiagnosis,diagnosis,earlypreventionandtreatmentofseverecomplications.【Keywords]Severe;Handfootandmouthdisease;EV71;Positive1•临床资料1.1一般资料我院及帮扶本院的台州医院2013年1月至10月收治的确诊为重症手足口病1