CAJ | 학술논문

目的：探讨吉林地区2008年6月～2010年12月146例手足口重症病例临床特点进行分析及早期识别进行深入探讨，为今后手足口病早期识别诊治及重症抢救提供理论依据。方法采用回顾性分析对吉林地区2008～2010年手足口病患者相关信息进行分析。结果全部病例中男性居多，发病年龄集中在3岁以下儿童，散居儿童发病高于托幼儿童；吉林地区所辖10个区域均有重症病例发生，主要集中于舒兰市、蛟河市、船营区等地，全年均有发生。重症病例的临床特点是多发生于3岁以下，持续高热、精神差、嗜睡、易惊、肢体抖动、呕吐、白细胞及血糖升高。危重患者可出现脑膜炎、脑炎、脑脊髓炎及肺水肿和循环障碍等；本组患儿采用综合治疗措施的治愈率为100%。结论早期发现、早期治疗及早期识别出重症病例是提高救治水平、降低病死率的关键；
목적：탐토길임지구2008년6월～2010년12월146례수족구중증병례림상특점진행분석급조기식별진행심입탐토，위금후수족구병조기식별진치급중증창구제공이론의거。방법채용회고성분석대길임지구2008～2010년수족구병환자상관신식진행분석。결과전부병례중남성거다，발병년령집중재3세이하인동，산거인동발병고우탁유인동；길임지구소할10개구역균유중증병례발생，주요집중우서란시、교하시、선영구등지，전년균유발생。중증병례적림상특점시다발생우3세이하，지속고열、정신차、기수、역량、지체두동、구토、백세포급혈당승고。위중환자가출현뇌막염、뇌염、뇌척수염급폐수종화순배장애등；본조환인채용종합치료조시적치유솔위100%。결론조기발현、조기치료급조기식별출중증병례시제고구치수평、강저병사솔적관건；
Objective To study the early identiifcation and clinical characteristics of 146 severe hand-foot-mouth disease cases in Jilin distric from June 2008 to December 2010,and provide theoretical basis for the early identiifcation, treatment, and emergency saving.Method The relative data of severe hand-foot-mouth disease cases in Jilin district from 2008 to 2010 were analyzed with retrospected analysis.Results The male account for much of the total hand-foot-mouth disease cases during 2008 -2010, and most of them were children less than 3-year old. Furthermore, the incidence of hand-foot-mouth disease for children who lived scattered was higher than those who lived in child-care centre and kindergarten. The severe hand-foot-mouth disease cases were observed in all the ten areas which belong to Jilin district and all the year round, and mainly distributed in Shulan City, Jiaohe City, Chuanying district. The clinical characteristics of severe hand-foot-mouth disease cases was as follows: less than three-year old, continuous high fever, low spirit, somnolence, frightened, limbs trembling, vomit, leukocyte increasing and hyperglycemia. Dangerous and severe patients may also have the symptoms, such as meningitis, encephalitis, encephalomyelitis, pneumonedema, dysaemia. The curative ratio reached 100% using synthetical treatment method within this patients group.Conclusion Early discovery, early treatment, and early identiifcation of severe hand-foot-mouth disease cases are the key points for improving saving level and decreasing death rate.