2009版手足口病防控指南microsoft word 文档

《2009版手足口病防控指南microsoft word 文档》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、手足口病预防控制指南（2009版）手足口病（Hand-foot-mouthDisease,HFMD）是由多种人肠道病毒引起的一种儿童常见传染病，是我国法定报告管理的丙类传染病。大多数患者症状轻微，以发热和手、足、口腔等部位的皮疹或疱疹为主要症状。少数患者可出现无菌性脑膜炎、脑炎、急性弛缓性麻痹、神经源性肺水肿和心肌炎等，个别重症患儿病情进展快，可导致死亡。手足口病常出现暴发或流行，为指导各地做好手足口病的预防控制工作，制定本指南。一、目的（一）指导医疗机构、疾病预防控制机构开展疫情报告与监测。（二）指导疾病预防控制机构开展流行病学调查、病原学监测。（三）指导疾病预防控制机构、医

2、疗机构开展重点场所及公众预防控制工作。二、疾病概述（一）病原学。引起手足口病的病毒属于小RNA病毒科肠道病毒属，包括柯萨奇病毒A组（CoxasckievirusA,CVA）的2、4、5、7、9、10、16型等，B组（CoxasckievirusB,CVB)的1、2、3、4、5型等；肠道病毒71型（HumanEnterovirus71,EV71）；埃可病毒（Echovirus,ECHO）等。其中以EV71及CVA16型较为常见。application;infectionandantibacterialdrugofclinicalapplication;transfusionref

3、erstolevy;nutritionsupportofadaptedcardandclinicalapplication;commonlifesupporttechnology(ascyclebreathingsupport,andnutritionsupport,)andemergencytechnologyofapplication;commonguardianshipinstrumentusing.Look:shock,cardiacrespiratoryarrestandacuteorganfailure,systemicinflammatoryresponsesyn

4、dromeandsevereinfectionandmultipleorgandysfunctionsyndrome(MODS),severedisturbanceofbodyfluidenvironmentsuchascriticaltheoryandprogressoftheillness.2.basicrequirements(1)speciesandcasesofstudyrequirements:severepneumoniaindisease-diseasemyocardialinfarction...3.highrequirements(1)learningdis

5、easespecies:diseasespeciesdiseasespeciesimageradiation:rheumaticheartcongenitalheartintestinalCrohn's(Crohn)diseaseintestinaltuberculosisbileductcancerchronicpancreaticinflammatoryurinarysystemstoneurinarysystemtumoradrenaldiseasethyroiddiseasecranialwithininfectionnervoussystemtumornuclearm

6、edical:Digestroadbleedingexplicitlikebrainbloodflowperfusionexplicitliketesticularbloodpoolexplicitlikesalivaryglandsexplicitlike(2)clinicalknowledge,andskillsrequirements:understandvariousimagecheckirecoveryoperationwashstomachoperationcatheteroperationchestabdominalpunctureoperationlumbarp

7、unctureoperationheartelectricguardianshipelectricalcardioversionlawoperationbreathingmachineusingtrachealintubationoperationmovingveinpunctureoperationcriticalpatientslifesupporttechnology(includingheartlungrecoveryandtraumapatientslifesupport)3.hi