小儿手足口病63例临床分析

Clinical analysis of 63 cases of hand-foot-mouth disease inchildren

目的:了解手足口病的流行特征和临床特点,为手足口病的临床诊断、治疗及预防提供依据。方法:对2008.5-2009.9收住院的例临床诊断为手足口病患儿资料进行回顾性分析。结果:本组病例以1-3岁患儿居多,男女比例1.625:1;患儿均有皮疹,以手和足最常见,其次为口腔、双膝和臀部;发热是常见症状;重症病例血常规白细胞、C-反应蛋白可升高;约1/3患儿出现心肌酶谱改变。结论:HFMD的高发年龄为1-3岁,发病情况与儿童抵抗力低及不良卫生习惯有关。病情以轻型为主,有部分重症病例出现不同程度的并发症。但这些病例临床经过良好,预后好。

Observe：To investigate the clinical and epidemical feathers of hand- foot -mouth disease （HFMD） and to provide evidence for clinical diagnosis, treatment and prevention of HFMD. Methods： Retrospective analysis was made on the clinical data of 63 cases, who were hospitalized between 2008.5 - 2008.9. Results： Among the cases, Most children were of 1 - 3 years old. The ratio of male to female was 1. 625 ： 1. All cases had rash, most commonly in hands, feet and mouths, some cases occurred in knees and hips. Fever was the most common symptom. The levels of WBC ,C -reactive protein increased in severe cases. Myoeardia enzymology changed in 1/3 of the cases. Conclusions： Children of 1 -3 years old are mainly attacked by HFMD. The incidence of HFMD is related to children＇s low resistance and bad health habits. Most cases of HFMD are clinically slight. In spite of some severe cases and the occurrence of complications in different degrees, the clinical process and the prognosis are fine.