中华实验和临床感染病杂志（电子版）
中華實驗和臨床感染病雜誌（電子版）
중화실험화림상감염병잡지（전자판）
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2014年
5期
635-638
,共4页
手足口病%重症病例%临床表现%护理对策
手足口病%重癥病例%臨床錶現%護理對策
수족구병%중증병례%림상표현%호리대책
Hand,foot and mouth disease (HFMD)%Severe case%Clinical features%Nursing strategy
目的：根据重症型手足口病（HFMD）患儿的临床表现进行分析，提出相应的护理对策，以期赢得最佳的抢救时间。方法收集首都医科大学附属北京地坛医院2008年1月至2013年6月收治的950例重症HFMD患者，依据临床表现及并发症分为两组：A组以神经系统症状为主要表现（917例），B组以神经系统症状同时合并循环系统和呼吸系统等多器官损害为主要表现（33例）。结果本研究入组患儿中938例存活，12例死亡，死亡病例均来自危重症组伴多器官损害的危重症病例，存活病例目前尚无后遗症出现。结论 HFMD重症病例可分为重症和危重症两型，危重症病例表现为在神经系统并发症基础上的多系统损害，是引起HFMD患者死亡的主要原因。在临床护理工作中通过周密观察和密切监测，及时发现这些具有危重症倾向的病例并及时报告，以便医生采取正确及时治疗，提高重症HFMD患者的生存率。
目的：根據重癥型手足口病（HFMD）患兒的臨床錶現進行分析，提齣相應的護理對策，以期贏得最佳的搶救時間。方法收集首都醫科大學附屬北京地罈醫院2008年1月至2013年6月收治的950例重癥HFMD患者，依據臨床錶現及併髮癥分為兩組：A組以神經繫統癥狀為主要錶現（917例），B組以神經繫統癥狀同時閤併循環繫統和呼吸繫統等多器官損害為主要錶現（33例）。結果本研究入組患兒中938例存活，12例死亡，死亡病例均來自危重癥組伴多器官損害的危重癥病例，存活病例目前尚無後遺癥齣現。結論 HFMD重癥病例可分為重癥和危重癥兩型，危重癥病例錶現為在神經繫統併髮癥基礎上的多繫統損害，是引起HFMD患者死亡的主要原因。在臨床護理工作中通過週密觀察和密切鑑測，及時髮現這些具有危重癥傾嚮的病例併及時報告，以便醫生採取正確及時治療，提高重癥HFMD患者的生存率。
목적：근거중증형수족구병（HFMD）환인적림상표현진행분석，제출상응적호리대책，이기영득최가적창구시간。방법수집수도의과대학부속북경지단의원2008년1월지2013년6월수치적950례중증HFMD환자，의거림상표현급병발증분위량조：A조이신경계통증상위주요표현（917례），B조이신경계통증상동시합병순배계통화호흡계통등다기관손해위주요표현（33례）。결과본연구입조환인중938례존활，12례사망，사망병례균래자위중증조반다기관손해적위중증병례，존활병례목전상무후유증출현。결론 HFMD중증병례가분위중증화위중증량형，위중증병례표현위재신경계통병발증기출상적다계통손해，시인기HFMD환자사망적주요원인。재림상호리공작중통과주밀관찰화밀절감측，급시발현저사구유위중증경향적병례병급시보고，이편의생채취정학급시치료，제고중증HFMD환자적생존솔。
Objective To investigate the clinical features of severe cases with hand, foot mouth disease (HFMD) and put forward the corresponding nursing strategy, to get the best rescue time. Methods Total of 950 cases with severe HFMD hospitalized in Beijing Ditan Hospital, Capital Medical University during January 2008 to June 2013 were enrolled. The 950 cases were divided into two groups according to the clinical features and complications. There were 917 cases with central nervous system (CNS) symptoms included in group A, while 33 cases with CNS, respiratory and circulatory systems symptoms included in group B. Results There were 983 cases survived and 12 cases died. The deaths were all from the severe group that with multiple organs involvements. The survival cases had no sequelae at present. Conclusions Severe HFMD cases include severe and extreme severe types. The extreme severe type has CNS complications and multiple organs involvements which is the main reason of death for patients with HFMD. In clinical nursing practice, carefully observing and monitoring are required to ifnd the severe cases timely and inform to doctor. Thus doctor could manage the cases correctly and timely to improve the survival rate of cases with HFMD.
