摘要
目的分析手足口病重症病例的病毒分型与临床特点。方法收集济宁市第一人民医院2013年3月-2014年3月诊治的手足口病重症患者52例,分析其病毒分型和临床特点。结果36名患者为EV71阳性,占总数的69.23%。有1名患者死亡,病死率为1.92%。所有患者均有发热、皮疹症状,有80.77%(42例)病例出现肢体抖动或无力,44.23%(23例)患者出现呕吐症状,80.77%(42例)患者白细胞(WBC)水平超过15×10^9/L。结论导致手足口病重症病例的病原体主要是EV71,患者多出现发热、肢体抖动或无力,白细胞水平升高。
Objective To investigate the virus types and clinical characteristics in severe cases of hand-foot-mouth disease. Methods A retrospective analysis was earried out in the First People's Hospital of Jining from March 2013 to March 2014. Fifty-two severe cases of hand-foot-mouth disease were included in the study. The virus types and clinical characteristics were studied. Results The results showed that 36 ea- ses (80. 77%) were positive for EVT1. One patient died, and the mortality rate was 1.92%. All patients showed symptoms of fever and skin rash. Forty-two cases ( 80. 77% ) showed limb jitter or weakness. Twen- ty-two cases (44. 23 % ) had vomiting. Forty-two cases (80. 77%) showed high white blood cell (WBC) lev- el ( 〉 15 × 10^9/L). Conclusions The main pathogen in severe cases of hand-foot-mouth disease was EV71, the clinical manifestations were mainly fever, limb shaking or weakness, and elevated white blood cell level.
出处
《国际病毒学杂志》
2014年第5期218-220,共3页
International Journal of Virology
关键词
手足口病
重症病例
病毒分型
临床特点
Hand-foot-mouth disease
Severe case
Virus type
Clinical features