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目的探讨危重型手足口病合并肺出血的临床诊疗策略。方法对2012年5月—2014年5月31例危重型手足口病合并肺出血患儿的策略性救治进行临床分析。结果 10例存活,存活率32.3%;21例死亡,1例治疗68 d因无咳嗽反射,无吞咽动作,家长放弃治疗出院,死亡率67.7%。结论危重型手足口病的治疗关键是早期识别,及早进行有效的干预措施以防其发展为肺出血,一旦发生肺出血及时给予机械通气等上述干预治疗,及时维持血压的稳定是降低病死率的关键。
Objective To explore the clinical diagnosis and treatment strategies of critically ill hand-foot-mouth disease combined with pulmonary hemorrhage. Methods From May 2012 to May 2014, 31 cases of critically ill hand-foot-mouth disease in children with pulmonary hemorrhage were analyzed. Results 10 cases survived with a survival rate of 32.3%. Twenty-one patients died and one patient was treated for 68 days without cough reflex. No swallowing occurred. Parents gave up their treatment and discharged, with a mortality rate of 67.7%. Conclusions The key to the treatment of critically ill hand-foot-mouth disease is early identification, effective intervention as early as possible to prevent the development of pulmonary hemorrhage, in case of pulmonary hemorrhage and timely mechanical ventilation and other interventions, timely maintenance of blood pressure is to reduce the mortality of stable The essential.