中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
12期
1818-1819
,共2页
手足口病%复发%肠道病毒%治疗,临床研究性
手足口病%複髮%腸道病毒%治療,臨床研究性
수족구병%복발%장도병독%치료,림상연구성
Hand,foot and mouth disease%Recurrence%Enterovirus%Therapies,investigational
目的 分析手足口病复发患儿的临床特点及治疗方法.方法 回顾性分析436例手足口病复发患儿的临床资料,对其在临床表现、实验室检查等方面的特点进行总结分析.结果 复发患儿年龄以2 ～5岁多见,共211例患儿,比例为48.4％；所有复发患儿皮疹均在手足口或臀部出现,有104例在肘膝上下出现皮疹,有9例在躯干部位出现皮疹；复发患儿易出现呼吸系统、消化系统、心血管系统及神经系统并发症,其中呼吸系统并发症最为常见,约占76.4％,其次为消化系统,约占18.5％.患儿复发时间主要集中在4～6月份,共有251例患儿,约占总复发人数57.6％；时间间隔以3～ 12个月为多见,共有326例复发病例,约占74.8％.结论 手足口病再次复发病例临床表现不典型,主要为普通型,重症患儿少,易合并呼吸系统、消化系统疾病,早期发现和诊断是治疗的关键.
目的 分析手足口病複髮患兒的臨床特點及治療方法.方法 迴顧性分析436例手足口病複髮患兒的臨床資料,對其在臨床錶現、實驗室檢查等方麵的特點進行總結分析.結果 複髮患兒年齡以2 ～5歲多見,共211例患兒,比例為48.4％；所有複髮患兒皮疹均在手足口或臀部齣現,有104例在肘膝上下齣現皮疹,有9例在軀榦部位齣現皮疹；複髮患兒易齣現呼吸繫統、消化繫統、心血管繫統及神經繫統併髮癥,其中呼吸繫統併髮癥最為常見,約佔76.4％,其次為消化繫統,約佔18.5％.患兒複髮時間主要集中在4～6月份,共有251例患兒,約佔總複髮人數57.6％；時間間隔以3～ 12箇月為多見,共有326例複髮病例,約佔74.8％.結論 手足口病再次複髮病例臨床錶現不典型,主要為普通型,重癥患兒少,易閤併呼吸繫統、消化繫統疾病,早期髮現和診斷是治療的關鍵.
목적 분석수족구병복발환인적림상특점급치료방법.방법 회고성분석436례수족구병복발환인적림상자료,대기재림상표현、실험실검사등방면적특점진행총결분석.결과 복발환인년령이2 ～5세다견,공211례환인,비례위48.4％；소유복발환인피진균재수족구혹둔부출현,유104례재주슬상하출현피진,유9례재구간부위출현피진；복발환인역출현호흡계통、소화계통、심혈관계통급신경계통병발증,기중호흡계통병발증최위상견,약점76.4％,기차위소화계통,약점18.5％.환인복발시간주요집중재4～6월빈,공유251례환인,약점총복발인수57.6％；시간간격이3～ 12개월위다견,공유326례복발병례,약점74.8％.결론 수족구병재차복발병례림상표현불전형,주요위보통형,중증환인소,역합병호흡계통、소화계통질병,조기발현화진단시치료적관건.
Objective To analyze the clinical characteristics and treatment methods of recurrence hand,foot and mouth disease (HFMD).Methods The clinical data of 436 HFMD patients were retrospectively analyzed.The characteristics of clinical manifestations,laboratory tests were analyzed.Results There were a total of 211 patients,accounting for 48.4％,the recurrence age was 2 to 5 years old.All relapsed patients rash appeared in the hand,foot and mouth or buttocks,there were 104 cases of rash appeared in elbow and knee,9 cases appeared in the torso.The recurrence patients proned to occur respiratory system,digestive system,cardiovascular system and nervous system complications.Respiratory complications were the most common,accounting for about 76.4％,followed by the digestive system,accounting for 18.5％.The distribution of relapse in children with time to recurrence and recurrence in-terval analysis found mainly in April to June,a total of 251 patients,the total relapse proportion was 57.6％ ;time in-terval was more common between 3 months to 12 months,a total of 326 cases of recurrence,accounting for 74.8％.Conclusion Clinical manifestations are not typical in recurrence HFMD patients,most are ordinary,less critically illpatients,it is easy to merge the respiratory system,digestive system complications.Early detection and diagnosis is the key to the treatment.
