包头市29例重症手足口病病例分析

目的探讨重症手足口病临床表现、就诊过程及重症发生可能因素。方法回顾性分析包头市2010年确诊的29例重症手足口病病例的流行特征及临床表现。结果 51.72%的病例接触手足口病病人后发病,农村及城乡结合部居住者居多,重症病人临床以高热、多发皮疹及多系统损害常见（93%）。多见精神差、食欲不振、呕吐,心率改变、脑膜刺激征;常并发病毒性脑炎和心肌炎;重症病例首诊确诊率低,转诊多,所需确诊时间长;基层医院手足口病确诊率低。结论农村、城乡结合处依然是手足口病防控的薄弱环节和重点,及时发现病情的改变、提高基层医院对手足口病的诊断能力,是提高疾病及时治疗、控制传染源、减少病死率的关键。

Clinical analysis of 29 severe hand-foot-mouth disease cases in Baotou City

Objective To anayze 29 severe hand-foot-mouth disease cases in Baotou City.Methods A retrospective method was applied to analyze the epidemic situation and clinical manifestations of severe hand-foot-mouth disease cases in Baotou City in 2010.Results There 51.72% cases occurred after exposure to the patients.The severe cases were younger with high fever,multiple skin rash and multiple body systems being harmed.Other symptoms were drooping spirits,loss of appetite,vomiting,heart rate changes,meningeal irrita...