手足口病280例临床分析

丁德和

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手足口病280例临床分析

丁德和

文章导航 > 蚌埠医学院学报 > 2013, 37 > 3: (295-297)

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Citation:

手足口病280例临床分析

丁德和

1.
安徽省安庆市立医院感染性疾病科, 246000

作者简介: 丁德和(1965-)，男，副主任医师

基金项目:

Clinical analysis of 280 cases with hand foot and mouth disease

DING De-he

1.
Department of Infectious Diseases,Anqing Municipal Hospital,Anqing Anhui 246000,China

摘要: 目的:探讨手足口病的流行病学特征与临床特点。方法:对2008年10月至2009年10月280例手足口病患者的流行特征、临床表现及治疗情况进行回顾性分析。结果:发病年龄以3岁以下为主,流行病学上以散发病例为主,部分幼儿园有局部流行表现。发热发生率为98.72%,病例均有相应的皮疹,严重者可见高热、呕吐、肢体抖动或肌无力、嗜睡等神经系统表现,重症病例占20.36%。合并有支原体感染4例。实验室检查:白细胞﹥10109/L 266例,二氧化碳结合力减低210例,心肌酶谱异常77例,肝功能异常28例。心电图多数表现为窦性心动过速或过缓,以窦性心动过速为主,少数表现为ST段下移,T波低平,且出现1例窦房结游离心律。脑电图异常51例,胸部X线片示支气管炎234例,支气管肺炎11例。结论:手足口病多数呈轻型表现,临床为普通病例。皮疹有明显的特点。流行病学上,以散发病例为主,有局部流行表现。高热、呕吐、肢体抖动、肌无力及精神萎靡或嗜睡对早期发现重症病例有提示意义。早期应用激素及免疫球蛋白有利于减轻症状及病情的恢复。
- 手足口病 /
- 流行病学 /
- 皮疹
Abstract: Objective:To explore the epidemiological and clinical characteristics of hand foot and mouth disease(HFMD).Methods:The treatment,epidemiological and clinical characteristics of 280 with HFMD were retrospective analysed from Oct.2008 to Oct.2009.Results:The cases with under 3 years were in majority,sporadic cases were major characteristics in epidemiology,and local pop performance in part of the kindergarten were found.Fever incidence was was 98.72%,and all the cases have rash.The performances of high fever,vomiting,body shaking,muscle weakness and sleepinessof the nervous system were found in severe cases,accounted for 20.36%.There were 4 cases with mycoplasma infection.In laboratory results,white blood cells(WBC) were greater than 10109/L in 266 cases;the binding force of carbon dioxide of 210 cases reduced;myocardial enzyme abnormal were in 77 cases,liver function abnormal were in 28 cases.In electrocardiogram(ECG),sinus tachycardia or too slow were main performances,sinus tachycardia was most,and S-T segment moving down and T-wave low plain was less.One case with antrum room knot free rhythm was detected.Fifty-one cases with ECG abnormalities,234 cases with bronchitis and 11 cases with bronchial pneumonia were comfirmed.Conclusions:Most cases with HFMD have light performances and are the common clinical cases.Rash have obvious characteristics.Sporadic cases are major features local pop performance are less in epidemiology.High fever,vomiting,body shaking,muscle weakness and sluggishness or sleepiness can hint heavy condition.Early application of hormones and immunoglobulin can relieve symptoms and promote the recovery of illness.
- hand foot and mouth disease /
- epidemiology /
- rash

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手足口病280例临床分析

丁德和

作者简介: 丁德和(1965-)，男，副主任医师

1. 安徽省安庆市立医院感染性疾病科, 246000

收稿日期: 2011-09-19
网络出版日期: 2013-03-15

基金项目:

关键词:

手足口病 /
流行病学 /
皮疹

摘要: 目的:探讨手足口病的流行病学特征与临床特点。方法:对2008年10月至2009年10月280例手足口病患者的流行特征、临床表现及治疗情况进行回顾性分析。结果:发病年龄以3岁以下为主,流行病学上以散发病例为主,部分幼儿园有局部流行表现。发热发生率为98.72%,病例均有相应的皮疹,严重者可见高热、呕吐、肢体抖动或肌无力、嗜睡等神经系统表现,重症病例占20.36%。合并有支原体感染4例。实验室检查:白细胞﹥10109/L 266例,二氧化碳结合力减低210例,心肌酶谱异常77例,肝功能异常28例。心电图多数表现为窦性心动过速或过缓,以窦性心动过速为主,少数表现为ST段下移,T波低平,且出现1例窦房结游离心律。脑电图异常51例,胸部X线片示支气管炎234例,支气管肺炎11例。结论:手足口病多数呈轻型表现,临床为普通病例。皮疹有明显的特点。流行病学上,以散发病例为主,有局部流行表现。高热、呕吐、肢体抖动、肌无力及精神萎靡或嗜睡对早期发现重症病例有提示意义。早期应用激素及免疫球蛋白有利于减轻症状及病情的恢复。

English Abstract

Clinical analysis of 280 cases with hand foot and mouth disease

DING De-he

1. Department of Infectious Diseases,Anqing Municipal Hospital,Anqing Anhui 246000,China

Received Date: 2011-09-19
Available Online: 2013-03-15

Abstract: Objective:To explore the epidemiological and clinical characteristics of hand foot and mouth disease(HFMD).Methods:The treatment,epidemiological and clinical characteristics of 280 with HFMD were retrospective analysed from Oct.2008 to Oct.2009.Results:The cases with under 3 years were in majority,sporadic cases were major characteristics in epidemiology,and local pop performance in part of the kindergarten were found.Fever incidence was was 98.72%,and all the cases have rash.The performances of high fever,vomiting,body shaking,muscle weakness and sleepinessof the nervous system were found in severe cases,accounted for 20.36%.There were 4 cases with mycoplasma infection.In laboratory results,white blood cells(WBC) were greater than 10109/L in 266 cases;the binding force of carbon dioxide of 210 cases reduced;myocardial enzyme abnormal were in 77 cases,liver function abnormal were in 28 cases.In electrocardiogram(ECG),sinus tachycardia or too slow were main performances,sinus tachycardia was most,and S-T segment moving down and T-wave low plain was less.One case with antrum room knot free rhythm was detected.Fifty-one cases with ECG abnormalities,234 cases with bronchitis and 11 cases with bronchial pneumonia were comfirmed.Conclusions:Most cases with HFMD have light performances and are the common clinical cases.Rash have obvious characteristics.Sporadic cases are major features local pop performance are less in epidemiology.High fever,vomiting,body shaking,muscle weakness and sluggishness or sleepiness can hint heavy condition.Early application of hormones and immunoglobulin can relieve symptoms and promote the recovery of illness.