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目的探讨肠道病毒EV71型手足口病临床特点和治疗。方法对2010年3月1日~6月30日在清远市人民医院经粪便检测证实为EV71病毒感染手足口病患儿的临床特点及治疗进行临床分析。结果手足口病1期15例,占34.6%,2期10例,占23.2%,3期14例,占32.5%,4期4例,占9.3%,41例手足口病患儿经过治疗,大多获得满意效果,2例因神经源性肺水肿、肺出血死亡。结论肠道病毒EV71具有明显嗜神经特性,易引起严重的中枢神经感染,如脑干脑炎,神经源性肺水肿,肺出血等危重表现,甚至死亡。
Objective To investigate the clinical characteristics and treatment of enterovirus EV71 type hand-foot-mouth disease. Methods From March 1, 2010 to June 30, 2010, the clinical features and treatment of EV71 virus infected hand, foot and mouth disease confirmed by excrement detection in Qingyuan People’s Hospital were analyzed. Results 15 cases of HFMD in stage 1, accounting for 34.6%, stage 2 in 10 cases, accounting for 23.2%, stage 3 in 14 cases, accounting for 32.5%, stage 4 in 4 cases, accounting for 9.3%, 41 cases of hand, foot and mouth disease in children, Mostly satisfactory results, 2 cases of death due to neurogenic pulmonary edema, pulmonary hemorrhage. Conclusion The enterovirus EV71 has obvious neurocognitive characteristics and easily lead to severe central nervous system infection such as encephalic encephalitis, neurogenic pulmonary edema, pulmonary hemorrhage and other critical performance, and even death.