重症手足口病合并休克的救治体会

Treatment experience in severe hand,foot and mouth disease combined with shock.

目的探讨重症手足口病合并休克患儿的临床特点、治疗经验和转归,为重症手足口病合并休克患儿的有效治疗提供依据。方法对2009年3～5月67例入住我科(ICU)重症手足口病合并休克患儿的临床资料和救治经过进行分析,并使用呼吸支持、扩容及血管活性药物纠正重症HFMD的休克,对结果进行统计学分析。结果休克治疗后与休克治疗前相比较,治疗后患儿的HR、CRT和肢端情况均明显好转(P<0.01)。结论早期进行密切观察及发生休克时合理及时的治疗是预防与救治重症HFMD并休克患儿的有效手段。

Objective To investigate the clinical features,treatment experience and outcomes of severe hand,foot and mouth disease（HFMD） combined with shock.Methods 67 children with HFMD combined with shock were selected,and the clinical data were collected and analyzed,using respiratory support,expansion and vasoactive drugs.Results After the shock treatment,the children＇s HR,CRT significantly improved than those before,with the statistical difference（P0.01）.Conclusion The early close observation to severe HFMD and the treatment to shock reasonable and timely are main methods to prevent and treat HFMD combined with shock.