手足口病的诊断与治疗

Diagnosis and treatment of Hand-foot-mouth disease

手足口病是多种肠道病毒感染引起的急性传染病,常见于婴幼儿,主要经接触传播,夏秋季节在幼托机构常出现爆发流行,大多数患者症状轻微,主要表现为发热、疱疹性咽峡炎和手掌、足底、臀周皮疹,少部分患者可出现中枢神经系统损伤、肺水肿、肺出血、循环衰竭,甚至死亡。对于该病,目前尚无特异性治疗手段,主要采取对症治疗。加深对手足口病的流行特征、临床表现的认识,有助于提高对本病的诊治水平。

Hand-foot-mouth disease is an acute infectious disease,it＇s pathogen include various enterovirus,coxsackie virus and ECHO virus,susceptible of population is infant,contact transmission is mainly route of transmission.Hand-foot-mouth disease frequently epidemic outbreak in kindergarten in summer and autumn.Majority of patients＇ symptoms are slight,the mainly clinical features are fever,benign croupous angina and herpes at palm 、foot bottom,nates;a few patients are grave,to appear centrallesion,pneumonedema,pneumorrhagia,circulatory collapse,even died in emergency room.We have no specific treatment to cure HFMD at present;we have to provide symptomatic treatment.To deepen the understand-ing to the epidemiologic features and clinical features of HFMD,it will improve clinical outcome.