豫东地区手足口病留观患者回顾研究1200例(1)
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【摘要】 目的 探讨豫东地区手足口病留观室患者的临床特点,诊断治疗及转归。为进一步了解防治该病提供科学依据。方法 回顾性分析1200例留观室手足口病患儿的临床资料。 结果 皮疹以手部为主者占36.1%、足部为主者占31.2%、口腔部病变为主占35.4%、以臀部为主占10.2%、以肘、膝部和胸腹部为主者占0.5%。其中手足部皮疹被误诊的占8.5%,因病情加重转入住院患者占9.6%。观察48~72 h解除留观者占62.3%,发热者占80.64%。年龄以学龄前儿童为主,占80.1%,有明确接触史者,占60.6%。发病以4~7月份高发。结论 手足口病发病以学龄前儿童为主,以手、足、口、臀等部位发生丘疱疹为主要临床表现,部分容易误诊。病情严重者大部分是EV71感染。留观患者病情易变,早隔离、诊断、治疗预后良好。
【关键词】豫东地区;手足口病;留观患者
Clinical analysis on 1200 cases of hand,foot and mouth disease about remained observation patients in the East Region of Henan Province
MENG Fan-jun,XIE Ji-hong.Department of Dermatologist,the First People′s Hospital of Shangqiu,Henan 476100,China
【Abstract】 Objective To investigate clinical features,diagnosis,treatment and prognosi of hand,foot and mouth disease about remained observation patients in the East Region of Henan Province.It provides scientific basis to further understand and prevention this disease.Methods The clinical data of 1200 cases of hand,foot and mouth disease children observing room were retrospective analysised.Results The rash of mainly hand、foot、oral、hip、knees and chest and abdomen accounted for 36.1%,31.2%,35.4%,10.2%,0.5%respectively.The hand and foot rash misdiagnosed accounted for 8.5%,and the in-patients of more serious accounted for 9.6%.The relieved and fever case accounted for 62.3%and 80.64%after observed 48-72 hours.The patients of preschool children accounting for 80.1%,there was a clear history of exposure to sufferer accounting for 60.6%.The high incidence time was 4-7 months.Conclusion The Hand,Foot and mouth disease patients were mainly pre-school children,and the main clinical manifestations are papulovesicle in hand,foot,mouth,buttocks and other parts.The some cases were easily misdiagnosed.A serious condition patients were infected by EV71.The condition of remained observation patients were inconstancy,early isolation,diagnosis,treatment,and prognosis is good.
【Key words】East Region of Henan Province;Hand,Foot and Mouth Disease;Remained Observation Patients
手足口病是多发于学龄前儿童的肠道病毒感染性疾病,现卫生部已将其定为丙类传染病。以手、足、口、臀等部位发生丘疱疹为主要临床表现,2009年4月开始河南省出现了大流行,尤其豫东地区更严重。为进一步探讨了解该病的临床特点,我们将本院1200例手足口病留观室患者临床资料总结分析,报告如下。
1 资料与方法
1.1 研究对象 手足口病共1200例全部来自本院手足口病留观室,时间为2009年4月至10月,其中男665例,女 535例。男女之比为 1.24∶1。病程5~10 d,最长15 d ......
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