| 手足口病急诊留观患儿转归的相关因素分析 |
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| 引用本文： | 张丽月,Denise Kudirka,Colleen Church,肖玉娟,吴闯,孙玉贝,林刚曦. 手足口病急诊留观患儿转归的相关因素分析[J]. 护理管理杂志, 2014, 14(4): 238-239,292 |
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| 作者姓名： | 张丽月 Denise Kudirka Colleen Church 肖玉娟 吴闯 孙玉贝 林刚曦 |
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| 作者单位： | 张丽月 (厦门大学附属第一医院,福建医科大学教学医院儿科,厦门市,361003)； Denise Kudirka(V5L 2N1, Montreal, Emergency Room, Montreal Children's Hospital,2300 Tupper, Canada)；Colleen Church(V6H 3N1, Vancouver, Emergency Room,British-Columbia Children's Hospital, 4480 Oak Street, Canada)； 肖玉娟 (厦门大学附属第一医院,福建医科大学教学医院儿科,厦门市,361003)； 吴闯 (厦门大学附属第一医院,福建医科大学教学医院儿科,厦门市,361003)； 孙玉贝(同安区新民镇卫生院内儿科,厦门市,361100)； 林刚曦 (厦门大学附属第一医院,福建医科大学教学医院儿科,厦门市,361003)； |
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| 基金项目： | 国家外专局2013年基金资助项目(项目编号：20133502015) |
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| 摘 要： | 目的探讨儿科手足口病患儿的临床特点及急诊留观患儿转归的危险因素,为手足口病患儿的护理提供依据。方法对2012年8月至2013年3月儿科急诊留观室收治的471例手足口病患儿及同期住院的40例患儿一般资料、临床症状及实验室检查结果进行比较,分析急诊留观患儿转归的危险因素。结果 3岁以下、高热、肢体抖动、血糖大于7.0 mmol/L、白细胞增高的手足口病患儿作为独立的危险因素使患儿转入住院的机会增多(P0.01或P0.05)。结论关注高危急诊留观患儿,有助于及时发现手足口病患儿的病情变化,提高其治愈率。存在病情加重危险的患儿,必要时住院进一步治疗。
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| 关 键 词： | 手足口病 儿科 急诊留观室 护理管理 |
Analysis of prognosis risk factors of hand - foot - mouth disease in pediatric emergency observation room |
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| Affiliation: | ZHANG Li - yue, Denise Kudirka, Colleen Church, XIAO Yu - juan, WU Chuang, SUN Yu - bei, LIN Gang - xi(1. Department of Pediatrics, First Affiliated Hospital of Xiamen University, Teaching Hospital of Fujian Medical University, Xiamen 361003, Chi- na ;2. Emergency Room, Montreal Children b Hospital,2300 Tupper, Montreal, V5L 2N1, Canada ;3. Emergency Room, British - Columbia Children Hospital,4480 Oak Street,Vancouver,V6H 3N1, Canada;4. Department of Pediatric, Health Center of Xinmin Town, Tonghn District of Xiamen, Xiamen 361100, China) |
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| Abstract: | Objective To investigate the clinical characteristics and prognosis risk factors of children with hand - foot - month disease （HFMD） in padiat- tic emergency observation room, so as to provide references for nursing care. Methods Totally,471 HFMD children admitted in padiatrie emergency observation room and 40 HFMD hospitalized patients were recruited from Aug. 2012 to Mar. 2013. Their general information, clinical characteristics, and laboratory examina- tions were compared to analyze the prognosis risk factors of patients in emergency observation room. Results Less than 3 years old, hypcrpyrexia, limb jitter, blood glucose higher than 7.0 mmol/L and increased white blood cell （ WBC ） made more opportunity of hospitalization （ P 〈 0. 01 or P 〈 0. 05 ）. Conclusion More focus on high - risk children under observation can help find the disease change of HFMD children, so as to improve the cure rate. Child that has dangers of aggravation should be admitted to hospital for further treatment if necessary. |
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| Keywords: | hand - foot - mouth disease pediatric department emergency observation room nursing management |
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