【摘要】目的:探讨重症手足口病的临床特点及治疗措施。方法:回顾2009年9月-12月,我科收治16例重症手足口病患儿的病例资料进行回顾性分析。结果:重症手足口病多发生于3岁以下,病情进展快,发病后1-5d多出现呼吸循环衰竭。结论:重症手足口病可出现严重并发症,少数患儿可并发脑膜炎,迟缓性麻痹,危及生命,对重症手足口病患儿早期诊断和及时综合治疗有助于阻断或延缓病情进展,适当剂量的肾上腺糖皮质激素与丙种球蛋白联合治疗有助于控制病情,是抢救成功的关键。

    【关键词】手足口病;肠道病毒;儿童

    Critically ill hand and foot mouth 16 example clinical analyses

    Zhai Xueling

    【Abstract】Objective: Discussion critically ill hand and foot stomatopathy clinical characteristic and remedial measure. Methods: Reviews in September, 2009-in December, my branch admits 16 example critically ill hand and foot stomatopathy baby the case material to carry on the review analysis. Results:The critically ill hand and foot stomatopathy occurs much below 3 years old, the condition progresses quickly, after the morbidity, 1-5d has the respiratory cycle failure. Conclusion: The critically ill hand and foot stomatopathy may present the serious complication, the minority baby may the concurrent meningitis, the slow paralysis, endanger life, is helpful to the critically ill hand and foot stomatopathy baby early diagnosis and the prompt complex therapy in blocks or the postponement condition progresses, the suitable dosage’s adrenal gland sugar cortical hormone and the gamma globulin union treatment is helpful to the control condition, rescues the successful key. ......