中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
7期
43-45
,共3页
豫东地区%手足口病%留观患者
豫東地區%手足口病%留觀患者
예동지구%수족구병%류관환자
East Region of Henan Province%Hand,Foot and Mouth Disease%Remained Observation Patients
目的 探讨豫东地区手足口病留观室患者的临床特点,诊断治疗及转归.为进一步了解防治该病提供科学依据.方法 回顾性分析1200例留观室手足口病患儿的临床资料.结果 皮疹以手部为主者占36.1%、足部为主者占31.2%、口腔部病变为主占35.4%、以臀部为主占10.2%、以肘、膝部和胸腹部为主者占0.5%.其中手足部皮疹被误诊的占8.5%,因病情加重转入住院患者占9.6%.观察48～72 h解除留观者占62.3%,发热者占80.64%.年龄以学龄前儿童为主,占80.1%,有明确接触史者,占60.6%.发病以4～7月份高发.结论 手足口病发病以学龄前儿童为主,以手、足、口、臀等部位发生丘疱疹为主要临床表现,部分容易误诊.病情严重者大部分是EV71感染.留观患者病情易变,早隔离、诊断、治疗预后良好.
目的 探討豫東地區手足口病留觀室患者的臨床特點,診斷治療及轉歸.為進一步瞭解防治該病提供科學依據.方法 迴顧性分析1200例留觀室手足口病患兒的臨床資料.結果 皮疹以手部為主者佔36.1%、足部為主者佔31.2%、口腔部病變為主佔35.4%、以臀部為主佔10.2%、以肘、膝部和胸腹部為主者佔0.5%.其中手足部皮疹被誤診的佔8.5%,因病情加重轉入住院患者佔9.6%.觀察48～72 h解除留觀者佔62.3%,髮熱者佔80.64%.年齡以學齡前兒童為主,佔80.1%,有明確接觸史者,佔60.6%.髮病以4～7月份高髮.結論 手足口病髮病以學齡前兒童為主,以手、足、口、臀等部位髮生丘皰疹為主要臨床錶現,部分容易誤診.病情嚴重者大部分是EV71感染.留觀患者病情易變,早隔離、診斷、治療預後良好.
목적 탐토예동지구수족구병류관실환자적림상특점,진단치료급전귀.위진일보료해방치해병제공과학의거.방법 회고성분석1200례류관실수족구병환인적림상자료.결과 피진이수부위주자점36.1%、족부위주자점31.2%、구강부병변위주점35.4%、이둔부위주점10.2%、이주、슬부화흉복부위주자점0.5%.기중수족부피진피오진적점8.5%,인병정가중전입주원환자점9.6%.관찰48～72 h해제류관자점62.3%,발열자점80.64%.년령이학령전인동위주,점80.1%,유명학접촉사자,점60.6%.발병이4～7월빈고발.결론 수족구병발병이학령전인동위주,이수、족、구、둔등부위발생구포진위주요림상표현,부분용역오진.병정엄중자대부분시EV71감염.류관환자병정역변,조격리、진단、치료예후량호.
Objective To investigate clinical features,diagnosis,treatment and prognosi of hand,foot and mouth disease about remained observation patients in the East Region of Henan Province.It provides scientific basis to further understand and prevention this disease.Methods The clinical data of 1200 cases of hand,foot and mouth disease children observing room were retrospective analysised.Results The rash of mainly hand 、foot、oral 、hip 、 knees and chest and abdomen accounted for 36.1%,31.2%,35.4%,10.2%,0.5% respectively.The hand and foot rash misdiagnosed accounted for 8.5 %,and the in-patients of more serious accounted for 9.6%.The relieved and fever case accounted for 62.3% and 80.64% after observed 48-72 hours.The patients of preschool children accounting for 80.1%,there was a clear history of exposure to sufferer accounting for 60.6%.The high incidence time was 4-7 months.Conclusion The Hand,Foot and mouth disease patients were mainly pre-school children,and the main clinical manifestations are papulovesicle in hand,foot,mouth,buttocks and other parts.The some cases were easily misdiagnosed.A serious condition patients were infected by EV71.The condition of remained observation patients were inconstancy,early isolation,diagnosis,treatment,and prognosis is good.
