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目的探讨幼儿急疹并发多器官损伤的临床特点及表现。方法回顾性分析急疹并发多器官损伤的76例患儿的临床资料。结果 76例患儿均伴有不同程度的代谢性酸中毒,其中6例出现发热及热退后皮疹,42例出现热性惊厥、白细胞减少、心肌损伤、肝功能损伤、肺部呼吸道损伤、胃肠道损伤中的1种并发症,23例出现2种或2种以上并发症。主要的并发症为:代谢性酸中毒、心肌损伤、肝功能损伤、肺部呼吸道损伤。结论幼儿急疹并发多器官损伤的主要受累器官为心、肝、肺等,且患儿主要器官损伤为代谢性酸中毒、心肌损伤、肝功能损伤、肺部呼吸道损伤,这些均严重威胁患儿的生命健康,儿科急诊应当对此予以高度重视,不断优化治疗效果,并进行健康宣教,增强患儿家长的重视。
Objective To investigate the clinical features and manifestations of multiple organ injury in children with acute rash. Methods The clinical data of 76 children with acute rash complicated with multiple organ injuries were retrospectively analyzed. Results 76 cases of children with metabolic acidosis were different degrees, of which 6 cases of fever and fever back rash, 42 cases of febrile seizures, leukopenia, myocardial injury, liver injury, lung respiratory injury, stomach One of the complications of intestinal injury, and 23 cases of two or more complications. The main complications are: metabolic acidosis, myocardial injury, liver function damage, lung respiratory tract injury. Conclusions The main organ involved in multiple organ damage in children with acute rash is heart, liver and lung, and the main organ injury in children is metabolic acidosis, myocardial injury, hepatic impairment and pulmonary respiratory injury, which are all serious threats to children Of life and health, pediatric emergency should attach great importance to this, and constantly optimize the treatment effect, and health education, enhance the attention of children and parents.