CAJ | 학술논문

目的：总结手足口病的不同临床表现、治疗及预后。方法：回顾性分析2011年6月至2012年4月在本院门诊就诊的808例手足口病患儿的临床资料。结果：3岁以下幼儿发病为主共571例(70.67％)：808例患儿手足部均见水疱疹及斑丘疹；有密切接触史，幼儿园、群居的患儿501例(62.0％)：有5例患儿发病2次；本院均为咽拭子形式采取样本，本次病例中的50例，有(EV)阳性48例，其中 EV71型阳性30例，结果偏高。说明 EV7l 是目前本院手足口病流行的优势毒株。结论：本组808例中，501例(62.00％)发生在幼儿园或者群居儿童，说明儿童之间相互感染容易引起广泛的传播，提示幼儿园及学校应重视预防，做好晨检，尽早地发现手足口病患儿，并及早地让患儿至定点医院正规治疗.避免居家治疗导致病情加重和救治不力而增加医疗成本和危重症死亡病例的发生概率，尽量减少发病班级的儿童与其他班级儿童接触的机会.以减少交叉感染的机会。
목적：총결수족구병적불동림상표현、치료급예후。방법：회고성분석2011년6월지2012년4월재본원문진취진적808례수족구병환인적림상자료。결과：3세이하유인발병위주공571례(70.67％)：808례환인수족부균견수포진급반구진；유밀절접촉사，유인완、군거적환인501례(62.0％)：유5례환인발병2차；본원균위인식자형식채취양본，본차병례중적50례，유(EV)양성48례，기중 EV71형양성30례，결과편고。설명 EV7l 시목전본원수족구병류행적우세독주。결론：본조808례중，501례(62.00％)발생재유인완혹자군거인동，설명인동지간상호감염용역인기엄범적전파，제시유인완급학교응중시예방，주호신검，진조지발현수족구병환인，병급조지양환인지정점의원정규치료.피면거가치료도치병정가중화구치불력이증가의료성본화위중증사망병례적발생개솔，진량감소발병반급적인동여기타반급인동접촉적궤회.이감소교차감염적궤회。
Objective:To investigate clinical characteristics, treatment and prognosis of pediatric pediatric hand-foot-mouth disease in outpatient. Methods: From June 2011 to April 2012, 808 patients with pediatric hand-foot-mouth disease were retrospectively studied. Results: The occurrence rate of foot and mouth disease was 70. 67%, the clinical characteristics is skin rash that develops over 1 to 2 days with flat or raised red spots, some with blisters. Enterovirus was detected in 48 samples, enterovirus 71 was often present. Conclusion: The risk of infection can be lowered by good hygienic practices and Avoid close contact with children with hand-foot-mouth disease.