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重型手足口病116例并发症分析 被引量:10

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摘要 目的探讨重型手足口病患儿的并发症类型及与年龄、预后的关系。方法对116例重型(或危重型)手足口病患儿的临床特征、并发症及转归进行总结。结果并发症分别为脑炎(或脑膜炎)(99.1%,其中脑干脑炎占95.7%),心肌损害(57.1%),支气管肺炎(31.0%),呼吸衰竭(21.6%),肺水肿、肺出血(15.5%),循环衰竭(25.0%),消化道出血(4.3%)。<1岁和>3岁患儿易发生1~2种并发症,1~3岁患儿易发生3种以上并发症。痊愈94例(81.0%),好转3例(2.6%),死亡6例(5.2%),自动出院13例(11.2%)。肺水肿、肺出血是主要死亡原因。结论重症手足口病患儿并发症主要是脑炎和心肌损害,还可并发消化道出血。1~3岁是手足口病重症的高发年龄段,并发症多,病死率高。
出处 《广东医学》 CAS CSCD 北大核心 2012年第6期766-767,共2页 Guangdong Medical Journal
基金 贵州省科学技术基金项目(编号:黔科合J字LKZ[2010]-14)
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