摘要
Abstract
Objective :To analyse the clinical manifestations of severe hand ,foot and mouth disease,summarize the diagnostic basis ,and explore the efficient methods of earlier detection, positive intervention and blocking the development of the disease on high risk factor . Methods : The clinical data of 30 child patients with HFMD in our hospital from April 2008 to July 2010 were analyzed retrospectively. Results: Except the skin rash on hand ,foot and mouth, the mainly manifestations were:patients under 3 year-old, constant fever, short of vigor, vomiting, limb myoclonus, weakness of limbs, convulsion, respiration and tachycardia augmented, cold sweat, poar peripheral circulation, obvious increase of hypertension or hypotensian peripheral leukocyte count,blood glucose elevation, phlegm sound in throat, failed to speak, cohesive eye , ?uvula skew , Shoaling nasolabial fold, deflected mouth , quick abnormal chest dynamic change; All of the 30 children had the symptom of pulmonary edema, 17 had evehigh risk factors wich was found in time and cured after taking effective treatments, 7 died , 6 given up treatment. and the given-up cases all died after then. Conclusion: Clinieal doctors must pay serious attention to high risk factors and select the patients with high risk factors ,carry out the intervention therapy , it is the key to increase cure rate , once pulmonary edema appeared , the death rate will be high .关键词
手足口病/诊断/手足口病/治疗/危重痛Key words
Hand, foot and mouth disease/diagnosis Hand, foot and mouth disease/therapy Critical illness分类
医药卫生
