发热与重症手足口病关系的临床分析

目的:探寻体温在儿童重症手足口病发生发展过程中的变化规律,以利于早期识别重症手足口病。方法:收治重症手足口病患儿146例,描绘每一病例的体温变化曲线,归纳分析体温变化特点。结果:146例重症手足口病患儿热程均>36小时,热程96小时以内142例,120小时以内4例,体温变化37.8～40.5℃。118例体温变化36～86小时呈稽留热。3例死亡病例在病情突变前最高体温38.7℃。结论:发热是重症手足口病发病的重要危险因素,热程达36～60小时,神经系统多可受累。

Objective:To explore the variation of body temperature in children in the development process of severe HFMD and to facilitate the early identification of severe HFMD.Methods:Clinical data of 146 cases of severe HFMD in children admitted to hospitol from march 2010 to june 2012 were collected.depicting the curve of the body temperature for each case,summarized and analyzed the characteristics of all the body temperature changes.Results:Duration of fever in 146 cases of severe HFMD were greater than 36 hours,less than 96 hours in 142 cases,and from 96 to 120 hours in four cases,the rang of body temperature changing in all cases were from 37.8℃ to 40.5℃.the thermal types from 36 to 86 hours in 118 cases were missed heat,the highest body temperature of three died cases before disease sudden change was 38.7℃.Conclusions:The fever is an important risk factor for severe HFMD,if duration of fever reach to 36-60 hours,the nervous system is more than can be involved.