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目的探讨重症手足口病的流行特征与临床分析,提醒临床及早发现重型病例,提高抢救成功率,降低死亡率。方法回顾性分析东莞市人民医院2008年4月至7月收住院的97例重症手足口病的流行特征及临床表现。结果发病年龄以3岁以下为主,发热发生率为90.72%,出现严重表现的比例高,肢体抖动或无力占71.13%;白细胞(WBC)(15×109/L占21.65%;血糖>9mmol/L占19.79%;病原学检查EV71阳性70.37%;死亡2例占2.06%。结论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、血糖升高是患儿短期内病情可能恶化、加重的重要参考指标。
Objective To explore the epidemiological characteristics and clinical analysis of severe hand-foot-mouth disease, to remind the clinical early detection of heavy cases, improve the success rate of rescue and reduce the mortality rate. Methods A retrospective analysis of Dongguan People ’s Hospital in April 2008 to July admitted to hospital 97 cases of severe HFMD epidemiological characteristics and clinical manifestations. Results The age of onset was mainly under 3 years old, with a fever incidence of 90.72%, a high rate of serious manifestations, and 71.13% of limb jitter or inability. WBC (15 × 109 / L, 21.65%, blood glucose> 9mmol / L accounted for 19.79%; etiological examination of EV71 positive 70.37%; 2 cases of death accounted for 2.06% .Conclusion Limb jitter and knee hyperreflexia have implications for the early detection of severe cases, leukocytosis, elevated blood sugar is the child’s condition may deteriorate in the short term , Increase the important reference index.