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液体负荷对重症手足口病儿童预后的影响

李灼 陈俊 时珺 胡静 缪红军 江涛 喻文亮 李军

实用医学杂志2016,Vol.32Issue(17):2844-2846,3.
实用医学杂志2016,Vol.32Issue(17):2844-2846,3.DOI:10.3969/j.issn.1006-5725.2016.17.018

液体负荷对重症手足口病儿童预后的影响

Effect of fluid loading on the prognosis of severe hand foot mouth disease in children

李灼 1陈俊 1时珺 1胡静 1缪红军 1江涛 1喻文亮 1李军1

作者信息

  • 1. 210008 南京医科大学附属南京儿童医院急诊科
  • 折叠

摘要

Abstract

Objective To evaluate the effect of fluid load on the prognosis of severe hand , foot and mouth disease in children. Methods The patients with severe hand foot and mouth disease in the emergency department of PICU in our hospital were enrolled as the research object. We would collect demographic characteristics , labora-tory tests and clinical data: age, gender, focus, basic disease, and simplified acute severity score (SAPS)Ⅱ and record the cumulative amount of fluid balance at 24, 48, 72 hours after admission. Results There was a signifi-cant difference on fluid balance at 48 and 72 hours between the survival group and the death group , the death group appeared the positive liquid balance , and there were significant differences in PICU retention time , mechani-cal ventilation rate, MODF involved organs, mortality and other prognostic indicators between the negative fluid balance group and the positive fluid balance group. Conclusion Fluid balance is an important treatment for severe hand foot and mouth disease, and positive liquid balance is related to mortality and other adverse prognosis.

关键词

手足口病/儿童/预后/容量

Key words

Hand foot and mouth disease/Pediatric/Prognosis/Volume

引用本文复制引用

李灼,陈俊,时珺,胡静,缪红军,江涛,喻文亮,李军..液体负荷对重症手足口病儿童预后的影响[J].实用医学杂志,2016,32(17):2844-2846,3.

基金项目

江苏省科技项目 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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