手足口病55例临床分析

Clinical analysis of 52 children with hand-foot-mouth disease

目的探讨儿童手足口病的临床特点及预后。方法收集2009-01～2010-07住院的55例手足口病患儿的临床资料,包括症状、体征、血常规、肝肾功能、心肌酶谱、血糖及脑脊液检查。结果普通手足口病预后良好,重症手足口病主要以神经系统受累为主,其次为心肌损害,及时治疗能获满意疗效。结论早发现、早诊断、规范治疗是降低手足口病病死率,提高治愈率的关键。

Objective To evaluate the clinical characteristics and prognosis of children with hand foot-mouth disease （HFMD）. Methods The clinical data of 55 child patients with HFMD from January 2009 to July 2010, including symptoms, signs, blood, liver and kidney function, myocardial enzymes, blood glucose and cerebral spinal fluid（CSF） were colleted. Results The prognosis of ordinary HFMD was better than severe HFMD. The main damage of severe HFMD is nervous system, followed by the heart. Timely treatment for the severe HFMD can achieve satisfatory with the results. Conclusion The key to improve the cure rate and reduce mortality of HFMD is early discovery, early diagnosis, and standard treatment.