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目的对120例危重型手足口病患儿的临床救治进行分析,为提高该病的救治成功率总结经验。方法回顾性分析本院手足口病监护室收治的120例危重型手足口病患儿临床表现及救治过程。结果 120例患儿61例治愈,36例好转,自动出院18例,死亡5例。单侧或双侧肢体活动障碍30例,留有癫痫后遗症2例。救治成功率80.8%,死亡率4.17%。结论危重型手足口病病情进展快,死亡率高,后遗症严重,严密监测生命体征变化、早期气管插管、加强脑保护治疗、积极抗炎、合理应用激素是救治成功的关键;吞咽、咳嗽功能差及呼吸肌无力者,上机时间明显延长。
Objective To analyze the clinical treatment of 120 critically ill children with hand-foot-mouth disease and summarize the experience in order to improve the success rate of the disease. Methods The clinical manifestations and treatment of 120 critically ill patients with hand-foot-mouth disease were retrospectively analyzed in our HFMD care unit. Results Of 120 cases, 61 cases were cured, 36 cases improved, 18 cases were discharged automatically and 5 cases died. Unilateral or bilateral limb movement disorders in 30 cases, leaving two cases of epilepsy sequelae. Treatment success rate of 80.8%, the mortality rate of 4.17%. Conclusion Severe hand-foot-mouth disease (HFMD) progresses rapidly with high mortality rate and severe sequelae. Close monitoring of vital signs, early tracheal intubation, intensive brain protection, aggressive anti-inflammatory and rational use of hormones are the key to successful treatment. Swallowing and coughing Poor and respiratory muscle weakness, on the machine significantly longer.