小儿手足口病46例临床分析

目的 了解小儿手足口病的发病特点及流行病学规律，以提高对该病的认识，减少误诊，防止本病爆发流行。方法 对46例小儿手足口病临床及流行病学资料进行回顾性分析。结果 手足口病好发于3岁左右学龄前儿童，易发生集体感染；误诊8例，误诊率为17．3％；有2例并发心肌损害。46例均治愈。结论 对该病认识不足是导致误诊的主要原因。小儿手足口病预后良好，但易并发心肌损害。加强疫情报告，控制疫情扩散，是预防爆发流行的重要措施。

Clinical Analysis of 46 Hand-Food-Mouth Disease

Objective To sdudy the features of onset, epidemic regularity of h and-food-mouth disease of children and to improve our knowledge,and to reuduce misdiagnosis. Method To sdudy retrospectively 46 patients with hand-food-mout h disease. Results Preschool children of the age about 3 years were easy to have hand-food-mouth disease and offen come to collective infection;8 patients,17 .3%of all patients were misdiagnosed;2 patients had myocardium damage;all 46 patients were completely recoverd. Conclusions The misdiagnosis mainly caused by lacke of knowledge. The children with hand-food-mouth disease were fine in pr ogmosis,but offen had myocardium damage. The important measure to prevent fulmin ating epdemic were to strengthen the repotors of epdemic and to control the spre ad of epdemic.