中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
8期
71-72
,共2页
手足口病%肠道病毒%神经系统受累
手足口病%腸道病毒%神經繫統受纍
수족구병%장도병독%신경계통수루
Foot and mouth disease%intestinal virus%Nervous system inuolued
目的：探讨合并神经系统受累的手足口病患儿的临床特点。方法回顾性分析我院2011-03-2013-11治疗的80例合并神经系统受累的手足口病患儿资料。结果80例HFMD重症患儿共检出病原68例，阳性率85.0％，其中CoxA16阳性13例，阳性率16.25％，EV71阳性55例，阳性率68.75％，未检出者12例。所有患儿均有发热症状，体温38～42℃，双手、双足皮疹、口腔溃疡、臀部皮疹等。均精神差，惊跳肢体抖动59例（73.75％），嗜睡42例（52.5％），呕吐29例（36.25％），脑膜刺激征28例（35.0％），呼吸节律不齐23例（28.75％），惊厥14例（17.5％），头痛烦躁14例（17.5％），脑神经麻痹4例（5.0％）。结论发热、皮疹是H FM D重症患儿的主要症状，合并神经系统受累的手足口病患儿主要表现为精神差、惊跳肢体抖动、嗜睡、呕吐、脑膜刺激征等。
目的：探討閤併神經繫統受纍的手足口病患兒的臨床特點。方法迴顧性分析我院2011-03-2013-11治療的80例閤併神經繫統受纍的手足口病患兒資料。結果80例HFMD重癥患兒共檢齣病原68例，暘性率85.0％，其中CoxA16暘性13例，暘性率16.25％，EV71暘性55例，暘性率68.75％，未檢齣者12例。所有患兒均有髮熱癥狀，體溫38～42℃，雙手、雙足皮疹、口腔潰瘍、臀部皮疹等。均精神差，驚跳肢體抖動59例（73.75％），嗜睡42例（52.5％），嘔吐29例（36.25％），腦膜刺激徵28例（35.0％），呼吸節律不齊23例（28.75％），驚厥14例（17.5％），頭痛煩躁14例（17.5％），腦神經痳痺4例（5.0％）。結論髮熱、皮疹是H FM D重癥患兒的主要癥狀，閤併神經繫統受纍的手足口病患兒主要錶現為精神差、驚跳肢體抖動、嗜睡、嘔吐、腦膜刺激徵等。
목적：탐토합병신경계통수루적수족구병환인적림상특점。방법회고성분석아원2011-03-2013-11치료적80례합병신경계통수루적수족구병환인자료。결과80례HFMD중증환인공검출병원68례，양성솔85.0％，기중CoxA16양성13례，양성솔16.25％，EV71양성55례，양성솔68.75％，미검출자12례。소유환인균유발열증상，체온38～42℃，쌍수、쌍족피진、구강궤양、둔부피진등。균정신차，량도지체두동59례（73.75％），기수42례（52.5％），구토29례（36.25％），뇌막자격정28례（35.0％），호흡절률불제23례（28.75％），량궐14례（17.5％），두통번조14례（17.5％），뇌신경마비4례（5.0％）。결론발열、피진시H FM D중증환인적주요증상，합병신경계통수루적수족구병환인주요표현위정신차、량도지체두동、기수、구토、뇌막자격정등。
Objective To investigate the clinical characteristics of children with hand ,foot and mouth disease merged with the nervous system impairment.Methods The data of 80 children with hand ,foot and mouth disease merged with the nervous system impairment from March 2011 to November 2013 were collected and retrospectively analyzed.Results Pathogens were detected in 68 cases ,the positive rate was 85.0%.CoxA16 in 13 cases was positive ,the positive rate of 16.25%.EV71 in 55 ca-ses positive ,positive rate was 68.75% ,12 cases were not detected. All children had a fever ,temperature in 38~42℃ ,rash on hands and/or feet ,oral ulcer ,hip skin rash ,etc. All children were characterized with poor spirit ,59 cases showed jittering of the limb ,(73.75% ) ,42 cases were characterized with lethargy (52.5% ) ,29 cases with vomiting (36.25% ) ,28 cases with meningeal stimulation(35.0% ) ,23 cases showed irregular breathing rhythm (28.75% ) ,14 cases with eclampsia ,accounted for 17.5% ,14 cases with headache and agitation ,accounted for 17.5% ,4 cases with cranial nerve palsy ,accounting for 5.0%.Conclusion Fe-ver and rash are the main symptoms of children with severe HFMD ,children with hand ,foot and mouth disease combined with nervous system impairment mainly manifest for poor spirit ,jittering of limb ,drowsiness ,vomiting and meningeal stimulation , etc.
