CAJ | 학술논문

目的：了解乌鲁木齐儿童医院2012年1月~7月收治的104例重症手足口病患儿临床特征。方法回顾性分析重症手足口病住院患儿临床特征及实验室检查。结果本组重症手足口病合并神经系统损伤患儿主要发生在3岁以下；表现易惊、肢体抖动、震颤最早出现；出现不同程度的意识障碍、抽搐、颅高压、脑膜刺激征、弛缓性麻痹、尿潴留等神经系统受损的表现；少数患儿合并神经源性肺水肿；周围血WBC增多，中性粒细胞、淋巴细胞同步升高，空腹血糖升高。结论对于合并中枢神经系统损伤的重症患儿、极危重症患儿及神经源性肺水肿的患儿，采取多项综合治疗。
목적：료해오로목제인동의원2012년1월~7월수치적104례중증수족구병환인림상특정。방법회고성분석중증수족구병주원환인림상특정급실험실검사。결과본조중증수족구병합병신경계통손상환인주요발생재3세이하；표현역량、지체두동、진전최조출현；출현불동정도적의식장애、추휵、로고압、뇌막자격정、이완성마비、뇨저류등신경계통수손적표현；소수환인합병신경원성폐수종；주위혈WBC증다，중성립세포、림파세포동보승고，공복혈당승고。결론대우합병중추신경계통손상적중증환인、겁위중증환인급신경원성폐수종적환인，채취다항종합치료。
Objective to understand the children's hospitallof urumqi between January 2012 and July of 104 cases of children with severe hand, foot and mouth disease clinicallfeatures. Methods children with severe hand, foot and mouth disease in hospitallwere retrospectively analyzed the clinicallfeatures and laboratory examination. Results this group of children with severe hand, foot and mouth disease with nervous system damage mainly occurs under 3 years old; Yi jing, limb jit er, tremor first appeared; Appear dif erent degree of disturbance of consciousness, convulsions, craniallpressure and meningeallstimulation, flaccid paralysis, urinary retention and other nervous system impaired performance; A smallnumber of children with neurogenic pulmonary edema; Peripherallblood WBC, neutrophil, lymphocyte synchronous rise, elevated fasting glucose. Conclusion for the merger of the centrallnervous system damage critically illchildren, are critically illchildren and children with neurogenic pulmonary edema, take a number of comprehensive treatment.