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目的:总结手足口病的不同临床表现、治疗及预后。方法:回顾性分析2011年6月至2012年4月在本院门诊就诊的808例手足口病患儿的临床资料。结果:3岁以下幼儿发病为主共571例(70.67%):808例患儿手足部均见水疱疹及斑丘疹;有密切接触史,幼儿园、群居的患儿501例(62.0%):有5例患儿发病2次;本院均为咽拭子形式采取样本,本次病例中的50例,有(EV)阳性48例,其中EV71型阳性30例。结果偏高。说明EV71是目前本院手足口病流行的优势毒株。结论:本组808例中,501例(62.00%)发生在幼儿园或者群居儿童,说明儿童之间相互感染容易引起广泛的传播,提示幼儿园及学校应重视预防,做好晨检,尽早地发现手足口病患儿,并及早地让患儿至定点医院正规治疗,避免居家治疗导致病情加重和救治不力而增加医疗成本和危重症死亡病例的发生概率,尽量减少发病班级的儿童与其他班级儿童接触的机会,以减少交叉感染的机会。
Objective: To summarize the different clinical manifestations, treatment and prognosis of hand, foot and mouth disease. Methods: The clinical data of 808 HFMD patients attending this hospital from June 2011 to April 2012 were analyzed retrospectively. Results: There were 571 cases (70.67%) of children under 3 years of age. Water and herpes papules were found in 808 cases of hand and foot. There were 501 patients (62.0%) with close contact history, kindergarten and community. 5 cases of the incidence of 2 times; our hospital are taking the form of throat swabs, 50 cases of this case, there are (EV) positive in 48 cases, of which EV71-positive in 30 cases. The result is high. Description EV71 is the prevalence of HFMV strains in our hospital. Conclusion: Among the 808 cases in this group, 501 (62.00%) occurred in kindergarten or group of children, indicating that mutual infection among children easily lead to widespread transmission, suggesting that kindergartens and schools should pay attention to prevention, do a good morning census, Children with stomatopathy and early delivery of children to the regular hospital for treatment to avoid home treatment lead to increased illness and treatment ineffective to increase the cost of medical treatment and critically ill deaths of the probability of occurrence, to minimize the incidence of class children and other classes of children exposure The chance to reduce the chance of cross-infection.