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目的分析锥体外系反应误诊为手足口病重症的原因。方法对2010年4月至2012年4月洛阳市儿童医院收治的17例误诊为手足口病重症的锥体外系反应患儿的临床资料进行分析。结果所有患儿完善检查排除手足口重症后给予热毒宁、利巴韦林抗病毒及补液、对症治疗,症状均迅速好转。结论应加强基层医生对药物源性锥体外系反应的认识和手足口病重症病例早期识别的学习,谨慎用药,尽量避免药物不良反应的发生和误诊误治。
Objective To analyze the reason why the extrapyramidal reaction is misdiagnosed as severe hand-foot-mouth disease. Methods The clinical data of 17 children with extrapyramidal reactions who were misdiagnosed as hand-foot-mouth disease who were admitted to Luoyang Children’s Hospital from April 2010 to April 2012 were analyzed. Results All children with complete examination to rule out severe hand, foot and mouth after given heat poisoning, ribavirin antiviral and rehydration, symptomatic treatment, the symptoms were rapidly improved. Conclusion The primary physicians’ understanding of drug-induced extrapyramidal reactions and the early identification of HFMD cases should be strengthened. Careful medication should be used to avoid adverse drug reactions and misdiagnosis.