危重型手足口病合并肺出血的临床治疗策略

Clinical treatment strategies of severe hand foot mouth disease complicated with pulmonary hemorrhage

目的探讨危重型手足口病合并肺出血的临床诊疗策略。方法对2012年5月—2014年5月31例危重型手足口病合并肺出血患儿的策略性救治进行临床分析。结果 10例存活,存活率32.3%;21例死亡,1例治疗68 d因无咳嗽反射,无吞咽动作,家长放弃治疗出院,死亡率67.7%。结论危重型手足口病的治疗关键是早期识别,及早进行有效的干预措施以防其发展为肺出血,一旦发生肺出血及时给予机械通气等上述干预治疗,及时维持血压的稳定是降低病死率的关键。

Objective To investigate the clinical diagnosis and treatment strategies for severe hand foot mouth disease com- plicated with pulmonary hemorrhage. Methods Strategic treatment of 31 cases from May 2012 to May 2014,who have se- vere hand foot mouth disease with pulmonary hemorrhage. Results 10 cases survived,, the survival rate was 32.3% ;21 cases died, I cases of treatment for 68 days without Cough reflex, without swallowing, parents abandoned hospital treat- ment, the mortality rate was 67.7%. Conclusions The key to treatment of severe hand foot mouth disease is early detec- tion, early and effective intervention measures to prevent the development of pulmonary hemorrhage, once the occurrence of pulmonary hemorrhage should treated with mechanical ventilation and the intervention treatment in time. maintain blood pressure stability is the key to reducing mortality.