中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
3期
193-196
,共4页
手足口病%EV71%死亡%调查
手足口病%EV71%死亡%調查
수족구병%EV71%사망%조사
Hand,foot and mouth disease%EV71%Death%Investigation
手足口病是5岁以下幼儿的常见病，一般预后较好，但如果救治不及时易发展为重症，甚至死亡。2014年7月1日，菏泽市报告了一例手足口病死亡病例，该病例亦为山东省首例死亡病例。为了确认该病例的感染病原体和死亡原因，通过流行病学调查方法、询问患者家属及医务人员、查阅病例等方法了解到该病例先后在两家村级卫生室就诊，后转到市传染病医院，虽经极力抢救，仍因手足口病合并病毒性脑炎和神经源性肺水肿，呼吸、循环衰竭而死。经肛拭子标本实时定量PCR检测，该病例检测结果为EV71感染。应进一步加强手足口病的防控措施，重点关注对农村地区的病例指导时就医，降低手足口病的重症率和死亡率。
手足口病是5歲以下幼兒的常見病，一般預後較好，但如果救治不及時易髮展為重癥，甚至死亡。2014年7月1日，菏澤市報告瞭一例手足口病死亡病例，該病例亦為山東省首例死亡病例。為瞭確認該病例的感染病原體和死亡原因，通過流行病學調查方法、詢問患者傢屬及醫務人員、查閱病例等方法瞭解到該病例先後在兩傢村級衛生室就診，後轉到市傳染病醫院，雖經極力搶救，仍因手足口病閤併病毒性腦炎和神經源性肺水腫，呼吸、循環衰竭而死。經肛拭子標本實時定量PCR檢測，該病例檢測結果為EV71感染。應進一步加彊手足口病的防控措施，重點關註對農村地區的病例指導時就醫，降低手足口病的重癥率和死亡率。
수족구병시5세이하유인적상견병，일반예후교호，단여과구치불급시역발전위중증，심지사망。2014년7월1일，하택시보고료일례수족구병사망병례，해병례역위산동성수례사망병례。위료학인해병례적감염병원체화사망원인，통과류행병학조사방법、순문환자가속급의무인원、사열병례등방법료해도해병례선후재량가촌급위생실취진，후전도시전염병의원，수경겁력창구，잉인수족구병합병병독성뇌염화신경원성폐수종，호흡、순배쇠갈이사。경항식자표본실시정량PCR검측，해병례검측결과위EV71감염。응진일보가강수족구병적방공조시，중점관주대농촌지구적병례지도시취의，강저수족구병적중증솔화사망솔。
Hand,foot and mouth disease is a common disease in the children under 5 years old,generally the prognosis is good,but if the treatment is not timely,it is easy to develop into severe and even death.On the fist July 2014,a death case was reported by Heze city,also the case was the first death case in Shandong province.In order to confirm the pathogen and cause of death on the first case of hand,foot and mouth disease,epidemiological investigation was applied, the family numbers of the patient and the doctors were interviewed,the medical records were collected.Finally,we knew that he went two village clinics successively,then he was sent to the city hospital for infectious diseases.Although the doctors tried their best to rescue the patient,he was dead for EV71 infection,with viral encephalitis and neurogenic pul-monary edema.We should focus on the medical case guidance,especially the rural areas,in order to reduce the severe morbidity and mortality.
