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手足口病是一种常见急性传染病,普通病例占绝大多数,重症病例主要累及神经系统、循环系统和呼吸系统,引发无菌性脑炎、心肌炎、肺水肿等严重并发症,病情进展快,治疗时间窗短,病死率较高。如何识别重症手足口病患儿的高危因素,及时地把重症患者筛查出来,早诊断、早转诊、早治疗是提高抢救成功率、降低病死率的关键。该文就重症手足口病的临床预警指标作一综述。
Hand, foot and mouth disease is a common acute infectious disease, the vast majority of common cases, severe cases mainly involving the nervous system, circulatory system and respiratory system, causing aseptic encephalitis, myocarditis, pulmonary edema and other serious complications, the disease progressed rapidly , Treatment time window is short, high mortality. How to identify the risk factors of severe hand-foot-mouth disease in patients with timely screening of critically ill patients, early diagnosis, early referral, early treatment is to improve the success rate of rescue, the key to reducing mortality. This article reviews the clinical indicators of HFMD.