葡萄球菌烫伤样皮肤综合征42例临床分析 |
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引用本文: | 杨秀芳,张晨美,刘涛,杨子浩. 葡萄球菌烫伤样皮肤综合征42例临床分析[J]. 中国现代药物应用, 2010, 4(14): 3-4 |
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作者姓名: | 杨秀芳 张晨美 刘涛 杨子浩 |
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作者单位: | 1. 中山大学附属中山医院儿科重症监护中心,528403 2. 浙江大学附属儿童医院儿科重症监护中心 |
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摘 要: | 目的为了提高对儿童葡萄球菌烫伤样皮肤综合征的临床认识,提高治愈率。方法回顾分析了2000~2008年住院的42例葡萄球菌烫伤样皮肤综合征患儿的临床资料。将患儿随机分成抗生素加糖皮质激素为实验组,抗生素无加糖皮质激素为对照组。结果 42例均有典型皮损,黏膜受累较重,实验组在使用抗生素加糖皮质激素过程中,均未发现毒副作用,体温恢复正常时间、皮肤红斑疱疹停止发展时间、表皮剥裸区干燥时间、平均住院天数均短于对照组的患儿,差异有统计学意义。两组死亡率差异无统计学意义。结论儿童葡萄球菌烫伤样皮肤综合征治疗上应去除病因,及时应用抗生素控制感染,同时早期足量、短程应用皮质类固醇激素可提高疗效,而且无明显副作用。
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关 键 词: | 葡萄球菌烫伤样皮肤综合征 儿童 临床表现 治疗 |
Clinical Analysis of Patients with Child Staphylococcal Scalded Skin Syndrome |
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Affiliation: | YANG Xiu-fang,ZHANG Chen-mei,LIU Tao,et al. (Department of Pediactric Intensive Care Unit,Zhongshan Hospital affiliated Zhongshan University School of Medicine,Guangdong 528400,China) |
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Abstract: | Objective To further realizing the clinical featuresof staphylococcal scaldedskin syndrome(SSSS) in child and improve the cure rate. Methods Clinical and data of lab analysis of 42 patients with Child staphylococcal scalded skin syndrome had been investigated retrospectively. The patients were separated into two groups:experimental group with antibiotic and corticosteroid;control group only with antibiotic. Results All of children had typical clinical symptoms of SSSS,mucosa injured seriously. There were no side effects in experi-mental group. The time when fever was gone,the condition of skin began better,the injury of skin was cured,and the in-patients time of experimental group were shorter than control group. The mortalities of two groups were no statistics significance. Conclusion The treatment of SSSS would do away with cause of disease,control infection with antibiotic. Early short-term of use corticosteroid can improve effect and have no side effects. |
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Keywords: | Staphylococcalscalded skin syndrome Child Clinical features Treatment |
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