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目的总结儿童重症手足口病的临床特点,提高救治成功率。方法对中平能化医疗集团总医院收治的523例手足口病患儿临床资料进行回顾性分析。结果重症患儿年龄4月龄~10岁,平均2.7岁,其中<2岁者占65.9%。农村及郊县患儿占90.6%,4~6月为发病高峰,占85.2%。发病急,多见精神差、肢体抖动、抽搐、呼吸节律及频率改变、血WBC升高、脑压高,危重患儿可出现神经源性肺水肿、肺出血,经早期筛查及干预处理治愈518例,自动出院5例。结论早期发现重症病例并积极处理可提高救治成功率。
Objective To summarize the clinical features of children with severe HFMD and improve the success rate of treatment. Methods The clinical data of 523 children with hand-foot-mouth disease admitted to Zhongping Nenghua Medical Group General Hospital were analyzed retrospectively. Results The severe children aged 4 months to 10 years old, with an average of 2.7 years, of which <2 years accounted for 65.9%. Children in rural and suburban counties accounted for 90.6%, peaked from April to June, accounting for 85.2%. Acute onset, more common mental retardation, limb jitter, convulsions, respiratory rhythm and frequency changes, elevated blood WBC, high intracranial pressure, critically ill children may appear neurogenic pulmonary edema, pulmonary hemorrhage, early screening and intervention to cure 518 For example, 5 cases were discharged automatically. Conclusion Early detection of severe cases and active treatment can improve the success rate of treatment.