手足口病临床观察与治疗分析

Analysis of clinical observation and treatment about hand-foot and mouth disease

目的:对手足口病进行临床观察与治疗分析,以期早期诊断、早期治疗、提高临床治疗效果。方法:对60例手足口病患儿进行临床症状、体征、辅助检查和治疗方法及其效果等进行观察,然后将所得数据进行统计、给予相应分析。结果:手足口病临床表现为发热、疱疹、恶心呕吐、皮疹、咳嗽咳痰、易惊、肢体震颤、下肢无力及血压增高等,而辅助检查示白细胞计数或正常或升高、血糖升高、肌酸激酶同工酶升高、丙氨酸转氨酶升高、血沉升高、胸片示斑片状阴影;同时所有患儿染病,多由肠道病毒71型(EV71)和柯萨奇A16型(CoxA16)感染所致,该病具有发展快、病情者经积极治疗后均好转出院且无后遗症。结论:对于手足口病应加强宣传教育、积极预防才能有效防控该病的发生。

Objective：To observe and analyze the hand-foot and mouth disease,in order to achieve early diagnosis and early treatment to improve the clinical treatment purposes.Methods：60 cases of child patients with hand-foot and mouth disease clinical symptoms,signs,laboratory examinations and treatments and their effects were observed,then the data was statistied and analyzed.Results：The clinical manifestations of hand-foot and mouth disease were fever,herpes,nausea,vomiting,rash,cough,sputum,easily frightened,limb tremor,lower limb weakness,and blood pressure,etc.,and laboratory examinations showed white blood pressure,etc.,and laboratory examinations showed white blood cell count or a normal or elevated blood sugar,elevated ESR,chest X-ray showed patchy shadows;while all the children infected,most of them were caused by the enterovirus 71（EV71）and coxsackievirus type A16（CoxA16） infection,and disease with rapid development,disease who improved afer active treatment were discharged without sequelae.Conclusion：For the hand-foot and mouth disease should strengthen publicity and education,and actively prevent the occurrence of disease prevention and control to be effective.