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目的探讨手足口病患儿的临床观察与救治。方法回顾性分析濮阳市人民医院396例手足口病患儿的流行病学特点、临床表现、实验室检查、治疗、转归等临床资料。结果 396例患儿中重症86例,合并呼吸系统受累326例,循环系统受累296例,在抗病毒治疗同时给予降颅压、人免疫球蛋白针、激素应用及对症治疗。治愈390例,要求出院5例,死亡1例。结论早期筛查出重症患儿是提高救治成功的关键。
Objective To investigate the clinical observation and treatment of hand-foot-mouth disease in children. Methods A retrospective analysis of 396 cases of Puyang City People’s Hospital of hand-foot-mouth disease epidemiological characteristics, clinical manifestations, laboratory tests, treatment, prognosis and other clinical data. Results Among 396 cases, 86 cases were moderate and severe, 326 cases were complicated with respiratory system, 296 cases were affected by circulatory system. Intracranial pressure, human immunoglobulin acupuncture, hormonal application and symptomatic treatment were given concurrently with antiviral therapy. 390 cases were cured, 5 cases were discharged and 1 case died. Conclusion The early screening of critically ill children is the key to improve the success of treatment.