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[目的]探讨手足口病病例死亡原因,总结经验,以便有针对性地加大防控措施,避免死亡。[方法]对2009年潍坊市2例手足口病死亡病例资料进行分析。[结果]2例患儿均因发热分别就诊于村卫生室、县级妇幼保健机构,未能及时转诊到定点医疗机构确诊,按一般发热、呼吸道感染方案救治,病情逐步加重;首例病例先后转诊县级定点医疗机构诊断为手足口病、青岛市妇幼儿童医院诊断为手足口病重症;第二例转诊潍坊市人民医院诊断为手足口病重症;2例病例均因病情时间长、发展快、导致多脏器功能衰竭而死亡。[结论]2例病人由于确诊不及时,早期未及时得到规范救治,逐步发展为手足口病危重病例,最终抢救无效死亡。
[Objective] To investigate the causes of HFMD and to summarize the experience so as to increase the prevention and control measures and avoid death in a targeted manner. [Method] The data of 2 death cases of hand, foot and mouth disease in Weifang city in 2009 were analyzed. [Results] Two cases of children were treated in village clinics and county-level maternal and child health institutions because of fever, failed to timely referral to designated medical institutions for diagnosis, according to the general fever, respiratory infection program for treatment, the condition gradually aggravated; the first case Has referral county-level designated medical institutions diagnosed as hand-foot-mouth disease, Qingdao Women and Children Hospital diagnosis of hand-foot-mouth disease severe; second referral Weifang People’s Hospital diagnosis of hand-foot-mouth disease severe; 2 cases were due to prolonged illness , Rapid development, leading to multiple organ failure and death. [Conclusion] The two patients were not critically treated in time due to the confirmed diagnosis, and gradually developed into critical cases of hand-foot-mouth disease. Finally, they died of ineffective rescue.