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[目的]了解2009年商丘市手足口病病例及手足口死亡病例的流行病学特征,探讨商丘市手足口病死率较高的原因。[方法]收集2009年全部网络直报病例及商丘市16例临床诊断为手足口病死亡患儿的完整资料。[结果]重症病死率2.67%,与轻症病死率比差异有统计学意义;男女病死率差异无统计学意义;年龄别病死率差异有统计学意义;16例死亡病例中14例为农村病例,村级就诊占81.25%;死亡直接原因肺出血、病毒性脑炎、多脏器衰竭;病程初期得不到正确诊断。[结论]16例死亡病例为3岁以下患儿,延误治疗是死亡的主要原因。
[Objective] To understand the epidemiological characteristics of hand-foot-mouth disease and hand-foot-mouth death in Shangqiu City in 2009 and to explore the reasons for the high mortality of hand-foot-mouth in Shangqiu City. [Methods] The complete data of 2009 cases of direct reports of network diseases and 16 cases of clinically diagnosed HFMD in Shangqiu were collected. [Results] The rate of severe case fatality was 2.67%, which was significantly different from that of mild case fatality rate. There was no significant difference in the case fatality rate between men and women. There was a significant difference in age-specific case fatality rate. Among the 16 cases, 14 were rural cases , Village clinics accounted for 81.25%; direct cause of death pulmonary hemorrhage, viral encephalitis, multiple organ failure; early diagnosis of the disease can not be correct. [Conclusion] The 16 deaths were children under 3 years old, and delayed treatment was the main cause of death.