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目的比较手足口病重症与轻症病例的早期表现差异,探讨早期识别重症病例的预警信号。方法对本院2012年报告的手足口病病例的完整资料进行回顾性分析。结果 2012年本院共报告1112例手足口病,其中轻症1097例,重症15例。重症多见于3岁以下婴幼儿,高发于4-5月份。早期表现为持续高热、皮疹不典型、先热后疹,常伴有神经、呼吸、循环等系统损伤。结论重症病例的早期表现不典型,重视早期识别、及时采取干预,对预防和治疗重症病例具有积极的临床意义。
Objective To compare the early manifestations of severe and mild cases of HFMD and to discuss the early warning signals of early identification of severe cases. Methods The complete data of HFMD cases reported in our hospital in 2012 were analyzed retrospectively. Results In 2012, 1112 HFMD cases were reported in our hospital, among which 1097 were mild and 15 were severe. Severe more common in infants under 3 years old, high in April-May. Early manifestations of persistent high fever, rashes atypical, first hot rash, often accompanied by nervous, respiratory, circulatory and other system damage. Conclusions The early manifestation of severe cases is not typical, pay attention to early identification, timely intervention, has positive clinical significance for the prevention and treatment of severe cases.