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75例儿童手-足-口病临床分析
引用本文:闫军,程明.75例儿童手-足-口病临床分析[J].重庆医科大学学报,2009,34(10).
作者姓名:闫军  程明
作者单位:1. 重庆市九龙坡区第一人民医院儿科,重庆,400050
2. 四川省都江堰市人民医院儿科,成都,611830
摘    要:目的:了解儿童手-足-口病的临床特点及防治经验.方法:回顾性分析75例儿童手-足-口病的临床特点、实验室及病原学检查.结果:75例小儿手-足-口病患儿病原体主要以柯萨奇病毒A16为主,其次为肠道病毒71型(EV71),部分患儿伴有心肌炎或脑炎等并发症,通过静脉注射抗病毒药物炎琥宁或利巴韦林,以及对症支持治疗,大多数患儿获得满意效果.结论:绝大多数患儿临床表现轻微,极少数伴有严重并发症(主要为EV71感染),及时有效对症治疗小儿手-足-口病、防止并发症发生是行之有效的.

关 键 词:手-足-口病  儿童  临床特点

Clinical analysis of children's hand food mouth dieases 75 patitents cases
Abstract:Objective:To study the clinical characteristics and prevention and cure experience, of hand foot mouth disease (HFMD) in children. Methods:Through the clinical characteristics, laboratory data and etiological examination of 75 cases of HFMD in childrenwere retrospectively analyzed. Results:The pathogen of HFMD was mainly the virus A16 of Coxsackie virus, and the next was Entericvirus71 (EV71) in 75 sick children. Some sick children had complications, such as myocarditis or encephalitis, an intravenous injection antivirus drugs (potassium sodium dehydroandroan drographolide succinate or ribavirin) and support treatment, the majority of sick children had acquired satisfied effects.Conclusion: The great majority patients have slight clinical, and few children mainly have severecomplications. Antivirus drugs and support treatment take effect to prevent complications of HFMD.
Keywords:Hand foot mouth disease  Children  Clinical characteristics
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