手足口病302例临床分析

Clinical analysis of 302 cases of head-foot-mouth disease in children

目的：探讨手足口病的临床特点、治疗方案和转归。方法我院2014年1月—12月诊治302例手足口病患儿，对患儿的流行病学、临床特点、治疗转归进行回顾性分析。结果儿童手足口病发病年龄以小于3岁为主，男多于女；发病高峰5月份~6月份，多有手足口病患者密切接触史；发热发生率70.5%，所有患儿均有皮疹，分布于手、足、臀、及肛周，部分并发心肌损害。结论手足口病传染性强，流行性高，对患儿早期诊治及采取隔离、消毒，可有效控制其传播。该病治疗以抗病毒及对症治疗为主，若无严重并发症，预后良好。

Objective To investigate the clinical characteristics of hand-foot-mouth disease,treatment options and prognosis. Methods 302 cases of children with head-foot-mouth disease in our hospital from 2014 January to 2014 December in the diagnosis and treatmen,epidemiology, for children, treatment response and prognosis were analyzed retrospectively. Results The age of onset of head-foot-mouth disease in children with less than 3 years old,male than female;the peak incidence of 5-6 months,many have head-foot-mouth disease in close contact;fever occurred in 70.5%,all patients had a rash on the hands,feet,distribution,buttocks,and perianal,some complicated with myocardial damage. Conclusion head-foot-mouth disease epidemic infectious strong, large strength, for early diagnosis and treatment of children and take isolation, disinfection, can effectively control the spread of. The disease treatment with antiviral and symptomatic treatment, without serious complications,the prognosis is good.